Individual
MRS. MICHELLE NANCY KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
52 2ND AVE, SUITE 1110, WALTHAM, MA 02451-1127
(781) 487-6100
(781) 487-6202
Mailing address
559 MAPLE ST, MANSFIELD, MA 02048-1625
(508) 339-2018
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
228235
MA
Other
Enumeration date
02/21/2007
Last updated
09/26/2016
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