Individual
DR. MARIE GRACE HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
440 FOLEY ST, SOMERVILLE, MA 02145-1213
(857) 282-0777
Mailing address
440 FOLEY ST, SOMERVILLE, MA 02145-1213
(857) 282-0777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2377648
MA
363LF0000X
Family Nurse Practitioner
APRN001957
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497008247
—
NV
Enumeration date
10/17/2012
Last updated
06/08/2023
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