Individual
GRACE LILIENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 INDEPENDENCE WAY STE 1, DANVERS, MA 01923-3692
(508) 263-0182
(833) 434-1428
Mailing address
230 INDEPENDENCE WAY STE 1 #1022, DANVERS, MA 01923
(508) 263-0182
(833) 434-1428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2320813
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2320813
MA
Other
Enumeration date
08/23/2019
Last updated
11/22/2023
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