Individual
MARY GRACE T CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
81 GARRETT PL, PLYMOUTH, MA 02360-6828
(917) 200-3084
Mailing address
81 GARRETT PL, PLYMOUTH, MA 02360-6828
(917) 200-3084
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2317926
MA
363L00000X
Nurse Practitioner
Primary
RN2317926
MA
Other
Enumeration date
03/02/2023
Last updated
09/19/2024
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