Individual
KAREN DEVEREAUX MELILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 WILDER ST STE 200, LOWELL, MA 01854-3057
(978) 934-4417
(978) 934-2015
Mailing address
232 RALEIGH TAVERN LN, NORTH ANDOVER, MA 01845-5632
(978) 683-3872
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
119120
MA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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