MARY R INNIS

WORCESTER, MA
NPI1053366963
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult
(Licence: MA  167110)
Enumeration Date2006-05-23
Last Update Date2020-11-24
Business Address
MARY R INNIS RN PC
100 CENTURY DR
WORCESTER, MA 01606
Phone number: 508-762-5400
Mailing Address
MARY R INNIS RN PC
PO BOX 415348 PROVIDER ENROLLMENT
BOSTON, MA 02241-5348
Phone number: 800-225-8885