Individual
MEREDITH BRASSARD DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 WEBSTER ST STE 8, HANOVER, MA 02339-1227
(781) 754-6545
(781) 536-0016
Mailing address
105 WEBSTER ST STE 8, HANOVER, MA 02339-1227
(781) 754-6545
(781) 536-0016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
268698
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
268698
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110091419A
—
MA
Enumeration date
02/25/2009
Last updated
06/27/2025
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