Individual
TERESA REARDON-POLLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257 LOW ST, NEWBURYPORT, MA 01950-3556
(978) 462-9311
Mailing address
257 LOW ST, NEWBURYPORT, MA 01950-3556
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
150835
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150835
MASS LICENSE
MA
Enumeration date
09/18/2007
Last updated
09/18/2007
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