Individual
HEATHER ROSE MCMULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
1490 CENTRE ST, NEWTON, MA 02459-2447
(617) 953-2077
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN267413
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN267413
MA
Other
Enumeration date
07/15/2022
Last updated
07/10/2024
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