Individual
MICHELLE NICOLE DEONARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
CENTER FOR SPINA BIFIDA AND SPINAL CORD CONDITIONS, BOSTON CHILDRENS HOSPITAL HU 390. 300 LONGWOOD AVE, BOSTON, MA 02115-0211
(617) 355-5710
Mailing address
300 LONGWOOD AVE # HU390, BOSTON, MA 02115-5724
(617) 355-8532
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2286272
MA
Other
Enumeration date
12/16/2018
Last updated
04/17/2020
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