Individual
MRS. ANN DEFOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-5603
Mailing address
97 HOLMAN ST, NULL, SHREWSBURY, MA 01545-2004
(617) 605-6193
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN211586
MA
Other
Enumeration date
10/15/2011
Last updated
10/09/2015
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