Individual
CHARLOTTE GRACE MALLON KOLADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
17 IRVING ST APT 2, BOSTON, MA 02114-3815
(847) 650-9801
Mailing address
17 IRVING ST APT 2, BOSTON, MA 02114-3815
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2355993
MA
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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