Individual
MICHELLE DEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
471 CENTER ST, LUDLOW, MA 01056-2733
(413) 625-3500
(413) 625-3655
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 309-9601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
262213
MA
363LF0000X
Family Nurse Practitioner
Primary
RN262213
MA
Other
Enumeration date
04/30/2018
Last updated
11/26/2024
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