Individual
MICHELLE S MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 FOSTER ST, PEABODY, MA 01960-8925
(781) 244-7307
Mailing address
89 FOSTER ST, PEABODY, MA 01960-8925
(781) 244-7307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2303713
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2303713
MA
Other
Enumeration date
07/03/2023
Last updated
12/02/2024
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