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Individual

MARIE FEDERICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, AGACNP-BC, RN

Contact information

Practice address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2285258
MA
163WC1500X
Community Health Registered Nurse
RN2285258
MA
363L00000X
Nurse Practitioner
RN2285258
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2285258
MA

Other

Enumeration date
11/06/2013
Last updated
03/17/2026
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