Individual
COLLEEN MARIE DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(857) 238-5900
Mailing address
10 FAXON AVE, APT 607, QUINCY, MA 02169-4682
(617) 851-0855
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN280062
MA
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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