Individual
MARYANNE MILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP-PC
Contact information
Practice address
300 LONGWOOD AVE, PEDIATRIC CARDIOLOGY/BADER 2/DR. DAVID FULTON, BOSTON, MA 02115-5724
(617) 355-8162
Mailing address
14 BONNIE LN, KINGSTON, MA 02364-2175
(781) 582-1519
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
189465
MA
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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