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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY LOU ETHEREDGE, PCNS-BC

Active Sole Proprietor

MARY LOU ETHEREDGE, PCNS-BC is a Substance Abuse Psychiatric Nurse healthcare provider located in NATICK, Massachusetts. NPI 1235778986 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Psychiatric Nurse · NATICK, MA

Registration Details

NPI Number
1235778986
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2019 (6.5840975832161 yrs)
Last Updated
Dec 29, 2019
License
RN111702 (MA)
Sole Proprietor
Yes

Practice Information

Address
5 OAK HILL RD
NATICK, MA, 017601009
Browse MA providers · Browse ZIP 01760
Phone
6178770371
Primary Specialty
Substance Abuse Psychiatric Nurse
163WP0809X

Other Substance Abuse Psychiatric Nurse Providers in NATICK, MA

Name Credential NPI
DR. PATRICIA C PILETTE EDD, APRN, BC, DAPA 1871526038
CONSTANCE M. CRUZ CNS 1659601219
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.