Individual
MADIINA NALUULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 816-3700
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN277744
MA
363LF0000X
Family Nurse Practitioner
RN27744
MA
Other
Enumeration date
08/21/2012
Last updated
04/21/2025
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