Individual
DALLAS MICHELLE DUCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CNL, FAAN
Contact information
Practice address
55 FRUIT ST FL HALL4, BOSTON, MA 02114-2696
(617) 643-7210
Mailing address
PO BOX 60538, FLORENCE, MA 01062-0538
(413) 341-9400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2333294
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2333294
MASSACHUSETTS BOARD OF REGISTRATION NURSING
MA
Enumeration date
08/08/2019
Last updated
10/20/2022
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