Individual
IRENE LOFTUS MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
97 KING ST, GROVELAND, MA 01834-1811
(978) 372-1407
Mailing address
PO BOX 35, GROVELAND, MA 01834
(978) 372-1407
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
APPLYING
MA
363LF0000X
Family Nurse Practitioner
Primary
RN94644
MA
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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