Individual
MICHELLE KIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
EVERCARE, 950 WINTER STREET, SUITE 3800, WALTHAM, MA 02451
(781) 472-8534
(781) 472-8801
Mailing address
532 GROVE ST, WORCESTER, MA 01605-1241
(781) 472-8534
(781) 472-8801
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
141285NP
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141-285 NP
STATE NURSING LICENSE
MA
Enumeration date
02/20/2007
Last updated
03/07/2023
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