Individual
MARIANNE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 MAIN ST, CHARLESTOWN, MA 02129-1125
(866) 610-2273
Mailing address
529 MAIN ST, CHARLESTOWN, MA 02129-1125
(866) 610-2273
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN250065
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN250065
RN
MA
Enumeration date
08/20/2019
Last updated
08/20/2019
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