Individual
MS. MARIA ELIZABETH KOUNLABOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
321 MAIN ST, ACTON, MA 01720-3718
(978) 635-8700
(978) 635-8920
Mailing address
321 MAIN ST, ACTON, MA 01720-3718
(978) 635-8700
(978) 635-8920
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
236165
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0393088
—
MA
Enumeration date
12/22/2006
Last updated
12/15/2014
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