Doctor Name: | MS. MAUREEN ANNE CONNOLLY |
NPI Number: | 1043336761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC, ANP |
License Number: | 164581 |
Business Practice Address: | 303 Upland Ave Newton Highlands, MA - 024612002 |
Business Phone Number: | 6179646808 |
Business Fax Number: | 6179646809 |
Mailing Address: | 303 Upland Ave, NEWTON HIGHLANDS |
State: | MA |
Postal Code: | 024612002 |
Phone Number: | 6179646808 |
Fax Number: | 6179646809 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 164581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |