Individual
MELISSA VAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1373
(978) 630-6280
Mailing address
242 GREEN ST, GARDNER, MA 01440-1373
(978) 630-6280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2021031217
MA
363L00000X
Nurse Practitioner
Primary
RN2286559
MA
Other
Enumeration date
05/27/2021
Last updated
02/24/2022
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