Individual
FARIYDA MULRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
819 WORCESTER ST, SPRINGFIELD, MA 01151-1045
(413) 543-6820
Mailing address
77 FOWLER ST, DORCHESTER, MA 02121-3714
(617) 306-8903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06162456
MA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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