Organization
MIBRAWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAIRE WAKULYAKA DNP (NURSE PRACTITIONER)
(508) 301-3889
Entity
Organization
Contact information
Practice address
67 FOREST ST STE 262, MARLBOROUGH, MA 01752-3195
(508) 301-3889
Mailing address
67 FOREST ST STE 262, MARLBOROUGH, MA 01752-3195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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