Individual
MONICA M ULLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 LONGWOOD AVE, 208, BOSTON, MA 02115-5724
(617) 355-5553
(617) 730-0097
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-5553
(617) 730-0097
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
177302
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317225
—
MA
Enumeration date
12/05/2006
Last updated
10/28/2009
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