Individual
MASSIEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
47 CONGRESS ST, SALEM, MA 01970-7308
(978) 744-8388
Mailing address
15 CHARLOTTE ST, PEABODY, MA 01960-6053
(978) 907-3319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2287325
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110157358A
—
MA
Enumeration date
07/18/2019
Last updated
11/08/2019
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