Individual provider · NPI-1

Arielle Sara Ganem-Rosen, NP

Nurse Practitioner · Worcester, MA

NPI number1720570229
StatusActive
Last updated in NPPESNov 19, 2019

Details

NPI
1720570229
Entity type
Individual (NPI-1)
Name
Arielle Sara Ganem-Rosen
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2018
Last updated
Nov 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner2313159MAYes
163WG0000X Registered Nurse, General Practice2313159MA

Practice location

19 Tacoma St
Worcester, MA 01605-3516

Phone 508-852-1805

Mailing address

1 Dayton St Apt 12
Worcester, MA 01609-3037

Phone 508-612-2971

Other practice locations

163 Gore St
Cambridge, MA 02141-1119

Phone 617-665-3000

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