Individual
MELISSA THEVENIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
489 TURNPIKE ST, SOUTH EASTON, MA 02375-1738
(508) 208-7314
Mailing address
1515 COMMERCIAL ST, WEYMOUTH, MA 02189-3082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2310677
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2310677
MA
Other
Enumeration date
02/27/2023
Last updated
03/29/2023
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