Individual
MS. MARILYN ANN MACDONNELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
130 MARSHALL RD, LOWELL, MA 01852-5130
(978) 671-9000
(978) 671-9104
Mailing address
61 VILLA ROMA DR, TEWKSBURY, MA 01876-2852
(978) 858-0932
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
143668
MA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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