Individual provider · Type 1 NPI
Luciann Poulopoulos McMullen
Family Nurse Practitioner · Roslindale, MA
NPI number
1669019972
Active
Practice location
236 Beech St
Roslindale, MA 02131-3311
Mailing address
19 Edgebrook Rd
West Roxbury, MA 02132-1124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse | 163WS0200X | RN233921 (MA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN233921 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1669019972
Luciann Poulopoulos McMullen's National Provider Identifier is 1669019972, issued on Dec 5, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Roslindale, MA. The record was last updated on Dec 5, 2019.