Individual
MRS. MICHELLE FARRELL-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-6500
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN265810
MA
363LA2200X
Adult Health Nurse Practitioner
RN265810
MA
Other
Enumeration date
08/31/2017
Last updated
02/12/2018
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