Individual
MS. MARYANN DAIDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4817
(617) 232-9500
Mailing address
5 BUXTON CT, ANDOVER, MA 01810-3508
(617) 763-1043
Taxonomy
Speciality
Code
Description
License number
State
163WX1100X
Ophthalmic Registered Nurse
190987
MA
363L00000X
Nurse Practitioner
Primary
190987
MA
363LA2200X
Adult Health Nurse Practitioner
190987
MA
Other
Enumeration date
07/23/2019
Last updated
04/13/2021
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