Individual
MADELINE MANFREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-PC
Contact information
Practice address
354 TREMONT ST, BOSTON, MA 02116-5538
(617) 426-9200
(617) 426-9201
Mailing address
28 CARLSON CIR, WEST ROXBURY, MA 02132-1002
(415) 233-0313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2353677
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2353677
MA
Other
Enumeration date
08/09/2024
Last updated
01/15/2025
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