Individual
MS. MARYANNE THERESE DEPROSPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
45 SUMMER ST, LEOMINSTER, MA 01453-3228
(508) 438-5653
(508) 860-1030
Mailing address
45 SUMMER ST, LEOMINSTER, MA 01453-3228
(508) 438-5653
(508) 860-1030
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
187557
MA
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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