Individual
MAUREEN RUTH DANIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CENTURY DR, WORCESTER, MA 01606-1244
(508) 762-5400
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
065390-23
NH
363LF0000X
Family Nurse Practitioner
RN164545
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN164545
MA
Other
Enumeration date
05/05/2015
Last updated
12/29/2022
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