Individual
ANN MARY DESCOTEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
77 E MERRIMACK ST, SUITE 15, LOWELL, MA 01852-1251
(978) 459-3341
(978) 459-5344
Mailing address
110 STAFFORD RD, LOWELL, MA 01852-1511
(978) 459-0489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
119233
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0384780
—
MA
01
—
80842
FALLON
MA
01
—
NP9834
BCBS
MA
Enumeration date
04/11/2007
Last updated
09/27/2011
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