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Karen Devereaux Melillo
Gerontology Nurse Practitioner in Lowell, Massachusetts
NPI 1871101444

Karen Devereaux Melillo is a Gerontology Nurse Practitioner based in North Andover, MA and is specialized in Gerontology. Karen Devereaux Melillo practices in Lowell, MA. The NPI Number for Karen Devereaux Melillo is 1871101444 and holds a License No. 119120 (Massachusetts).

The current practice location address for Karen Devereaux Melillo is 113 Wilder St Ste 200, Lowell, MA and can be reached out via phone at 978-934-4417 and via fax at 978-934-2015.

Location: 113 Wilder St Ste 200, Lowell, MA, 01845-5632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871101444
Provider Name
Karen Devereaux Melillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
113 Wilder St Ste 200, Lowell, MA, 01845-5632
Phone Number
978-934-4417
Fax Number
978-934-2015
Provider Enumeration Date
07/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
113 Wilder St Ste 200
City
Lowell
State
Massachusetts
Zip
01854-3057
Phone Number
978-934-4417
Fax Number
978-934-2015
person
Provider Business Mailing Address Details
Address
113 Wilder St Ste 200
City
Lowell
State
Massachusetts
Zip
01854-3057
Phone Number
978-934-4417
Fax Number
978-934-2015
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
119120 (Massachusetts)
Definition
Definition to come...
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