Etheredge, Mary Lou

Etheredge, Mary Lou is an sole proprietor health care provider with primary practice located at 5 Oak Hill Rd , Natick MA 01760-1009. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Etheredge, Mary Lou can be contacted via phone (617) 877-0371.

Contact Information

Primary practice address
5 Oak Hill Rd Natick MA 01760-1009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN111702 Massachusetts

Profile Details

NPI number 1235778986
LBN Legal business name Etheredge, Mary Lou
Credentials PCNS-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2019
Last updated Dec 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers