Individual
GWEN HOTALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
67 UNION ST, NATICK, MA 01760-6099
(508) 650-7730
(508) 650-7818
Mailing address
67 UNION ST, NATICK, MA 01760-6099
(508) 650-7730
(508) 650-7818
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
160193
MA
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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