Individual
KATHLEEN TYRRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 LINCOLN ST, WORCESTER, MA 01605-2010
(508) 854-3300
Mailing address
631 LINCOLN ST, WORCESTER, MA 01605-2010
(508) 854-3300
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
133871
MA
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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