Individual
MS. NORA MELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN PMHNP-BC
Contact information
Practice address
529 PEARL ST, BROCKTON, MA 02301-2825
(508) 580-2211
Mailing address
529 PEARL ST, BROCKTON, MA 02301-2825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2280010
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018012591
MA
Other
Enumeration date
08/10/2012
Last updated
12/27/2018
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