Individual
ANNE MARIE MARIE DICREDICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
888 MAIN ST, WAKEFIELD, MA 01880-4080
(781) 620-4890
Mailing address
888 MAIN ST, WAKEFIELD, MA 01880-4080
(781) 620-4890
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN173023
MA
Other
Enumeration date
09/12/2020
Last updated
05/31/2024
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