Individual
ANNE KENNEALEY-MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
1153 CENTRE ST, FAULKNER BREAST CENTRE, BOSTON, MA 02130-3446
(617) 983-7773
(617) 983-7779
Mailing address
1153 CENTRE ST, BWH-FH, JAMAICA PLAIN, MA 02130-3446
(617) 983-7179
(671) 983-7825
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
100002
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387100
—
MA
Enumeration date
01/10/2006
Last updated
02/19/2016
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