Individual
MELISSA BOZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-5491
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2303085
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2303085
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN2303085
—
MA
Enumeration date
02/14/2022
Last updated
06/25/2024
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