Individual
MARY BRIDGET MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
25 WINTHROP RD, HINGHAM, MA 02043-3532
(857) 204-9076
Mailing address
25 WINTHROP RD, HINGHAM, MA 02043-3532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2263960
MA
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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