Individual
VANNY MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
72 E CONCORD STREET, ROBINSON 2, BOSTON, MA 02118
(617) 638-6100
(617) 638-6179
Mailing address
PO BOX 709, WESTPORT, MA 02790-0699
(781) 404-7045
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2267891
MA
Other
Enumeration date
01/26/2019
Last updated
12/19/2019
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