Individual
MS. MOLLY DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-6475
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2276816
MA
363LA2100X
Acute Care Nurse Practitioner
RN2276816
MA
363LF0000X
Family Nurse Practitioner
2276816
MA
Other
Enumeration date
06/24/2014
Last updated
03/02/2023
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