Individual
HALLEY MARCOUILLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
461 NEWTOWN RD, LITTLETON, MA 01460-2207
(774) 217-3119
Mailing address
461 NEWTOWN RD, LITTLETON, MA 01460-2207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2298573
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2298573
MA
Other
Enumeration date
07/07/2020
Last updated
08/02/2022
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