Individual
MADELINE LUCILLE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
565 TURNPIKE ST STE 85, NORTH ANDOVER, MA 01845-5936
(978) 689-2247
Mailing address
565 TURNPIKE ST STE 85, NORTH ANDOVER, MA 01845-5936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153652
CT
163W00000X
Registered Nurse
RN2333579
MA
363LF0000X
Family Nurse Practitioner
083576-23
NH
363LF0000X
Family Nurse Practitioner
Primary
RN2333579
MA
Other
Enumeration date
04/02/2020
Last updated
12/10/2024
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