NPI Profile for CHARLENE CLERVEAU in BILLERICA, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X |
| NPI Number | 1609448109 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 07/14/2021 | |
| Last updated | 10/02/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHARLENE CLERVEAU
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