| Doctor Name: | MRS. MARILYN M STELLY-GENDRON |
| NPI Number: | 1104981885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 205899 |
| Business Practice Address: | 119 Drum Hill Rd Unit 347 Chelmsford, MA - 018241505 |
| Business Phone Number: | 9788663279 |
| Business Fax Number: | 9789379630 |
| Mailing Address: | 145 Bowers St, LOWELL |
| State: | MA |
| Postal Code: | 018543335 |
| Phone Number: | 9788663279 |
| Fax Number: | 9789379630 |
| NPI Enumeration Date: | 12/24/2006 |
| NPI Last Update Date: | 12/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 205899 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |