Individual
MS. CHARLOTTE MARIE HOLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
611 FELLSWAY W, MEDFORD, MA 02155-1849
(781) 498-8221
Mailing address
611 FELLSWAY W, MEDFORD, MA 02155-1849
(781) 498-8221
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN277786
MA
2086S0102X
Surgical Critical Care Physician
Primary
RN277786
MA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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