Individual
MARLENE HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
105 E MAIN ST, MILFORD, MA 01757-2709
(508) 478-6868
Mailing address
PO BOX 71, LEICESTER, MA 01524-0071
(857) 991-6897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2293589
MA
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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