Individual
LAURIE MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 MAIN ST, WALPOLE, MA 02081-3753
(508) 660-1666
Mailing address
420 MAIN ST, WALPOLE, MA 02081-3753
(508) 660-1666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2262998
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2262998
MA
Other
Enumeration date
07/03/2023
Last updated
01/01/2024
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