Individual
JOANNE M MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 SPARKLE DR, LAWRENCE, MA 01843-3012
(978) 857-3334
Mailing address
5 SPARKLE DR, LAWRENCE, MA 01843-3012
(978) 857-3334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN256639
MA
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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