Individual
MICHELLE KAREN CELESTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-1640
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2286767
MA
363L00000X
Nurse Practitioner
Primary
RN2286767
MA
Other
Enumeration date
11/15/2022
Last updated
03/06/2024
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