Individual provider · NPI-1

Mary Dillon, RNCS

Nurse Practitioner, Psych/Mental Health · Worcester, MA

NPI number1265783336
StatusActive
Last updated in NPPESOct 3, 2023

Details

NPI
1265783336
Entity type
Individual (NPI-1)
Name
Mary Dillon
Credential
RNCS
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2012
Certification date
Oct 3, 2023
Last updated
Oct 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthRN231398MAYes
163WP0809X Registered Nurse, Psych/Mental Health, AdultRN231398MA

Practice location

605 Lincoln St
Worcester, MA 01605-1901

Phone 401-273-7100

Mailing address

13 Cutler Rd
Paxton, MA 01612-1423

Phone 413-584-4040

Other practice locations

1 Corporate Pl
Middletown, RI 02842-6406

Phone 401-847-6239

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