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Mary R Innis, RNPC
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Worcester, Massachusetts
NPI 1053366963

Mary R Innis is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Boston, MA and is specialized in Psychiatric/Mental Health, Adult. Mary R Innis practices in Worcester, MA and has the professional credentials of RNPC. The NPI Number for Mary R Innis is 1053366963 and holds a License No. 167110 (Massachusetts).

The current practice location address for Mary R Innis is 100 Century Dr, Worcester, MA and can be reached out via phone at 508-762-5400 and via fax at 508-762-5410. You can also correspond with Mary R Innis through the mailing address at PO BOX 415348 PROVIDER ENROLLMENT, BOSTON, MA - 02241-5348 (mailing address contact number: 800-225-8885).

Location: 100 Century Dr, Worcester, MA, 02241-5348
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Provider Profile Details
NPI Number
1053366963
Provider Name
Mary R Innis
Credential
RNPC
Provider Entity Type
Individual
Gender
Female
Address
100 Century Dr, Worcester, MA, 02241-5348
Phone Number
508-762-5400
Fax Number
508-762-5410
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Century Dr
City
State
Zip
01606
Phone Number
508-762-5400
Fax Number
508-762-5410
person
Provider Business Mailing Address Details
Address
Po Box 415348 Provider Enrollment
City
State
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
167110 (Massachusetts)
Definition
Definition to come...
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