Individual provider · Type 1 NPI
Therese Willette, NURSE PRACTITIONER
Adult Health Nurse Practitioner · Everett, MA
NPI number
1306079470
Active
Practice location
103 Garland St, Senior Care Office
Everett, MA 02149-5066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 203525 (MA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN203526 (MA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1306079470
Therese Willette, NURSE PRACTITIONER's National Provider Identifier is 1306079470, issued on Aug 24, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Everett, MA. The record was last updated on May 22, 2014.