Individual
MADELINE WINSLOW COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 WASHINGTON ST # 245, BOSTON, MA 02111-1552
(617) 636-1865
(617) 636-8538
Mailing address
25 GRASSHOPPER LN, ACTON, MA 01720-4606
(978) 549-8847
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2295371
MA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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