| NPI | 1487856076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE CANNON Nurse Practitioner 978-250-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 260601) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |