Mary R Connolly
Nurse Practitioner - Adult Health Nurse Practitioner - Community Health
20 Wall St
Burlington
, Massachusetts 01803-4758
Mary R Connolly
Nurse Practitioner - Adult Health Nurse Practitioner - Community Health
20 Wall St
Burlington
, Massachusetts 01803-4758
(781) 221-2600
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Mary R Connolly
- 20 Wall St
- Burlington, MA
- Zip : 01803-4758
- Phone : (781) 221-2600
Second Address
- Mary R Connolly
- 20 Wall St
- Burlington, MA
- Zip : 01803-4758
- Phone : (781) 221-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 113932 | MA |
| N | 363LC1500X | Nurse Practitioner - Community Health | 169627 | CO |
National Provider Identifier
| NPI | 1447365515 |
|---|---|
| Provider Name | Mary R Connolly |
| First Address | Burlington, MA 01803-4758 |
| Second Address | Burlington, MA 01803-4758 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 18/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.