Individual
MARY E CANCELLIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
163573
MA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
163573
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
163573
MA
Other
Enumeration date
04/24/2007
Last updated
02/09/2018
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