Individual
MARYANNE P LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CPNP
Contact information
Practice address
65 LIBBY ST, BROCKTON, MA 02302-2949
(508) 584-6060
Mailing address
786 HANOVER STREET, HANOVER, MA 02339
(781) 826-9159
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
147160
MA
Other
Enumeration date
10/03/2006
Last updated
10/12/2011
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