Individual
MARIELLE PETRILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
55 FRUIT STREET, YAWKEY 4B, BOSTON, MA 02114
(617) 724-6700
Mailing address
55 FRUIT STREET, YAWKEY 4B, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2306198
MA
Other
Enumeration date
09/20/2017
Last updated
11/11/2019
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