Individual
MS. DONNA MARIE SLICIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
45 HANCOCK ST, APT 105, QUINCY, MA 02171-1732
(617) 471-8884
Mailing address
55 FRUIT STREET, MGH GCRC WHITE 13, BOSTON, MA 02114-2696
(617) 726-1610
(617) 124-3299
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
156855
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075641
MGH
MA
Enumeration date
06/02/2008
Last updated
06/02/2008
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