Individual
MALLORY ANN HILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGPCNP-BC
Contact information
Practice address
50 STANIFORD ST STE 3013, BOSTON, MA 02114-2517
(617) 643-0915
Mailing address
50 STANIFORD STREET, 3RD FLOOR, SUITE 301, BOSTON, MA 02114-2517
(617) 643-0915
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2312232
MA
363L00000X
Nurse Practitioner
Primary
RN2312232
MA
Other
Enumeration date
03/05/2019
Last updated
08/20/2019
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