Provider Demographics
NPI:1164625125
Name:O'MALLEY, MARYJANE CHAPIN (RNC, MSN, PNP)
Entity Type:Individual
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First Name:MARYJANE
Middle Name:CHAPIN
Last Name:O'MALLEY
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Gender:F
Credentials:RNC, MSN, PNP
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Mailing Address - Street 1:100 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-4123
Mailing Address - Country:US
Mailing Address - Phone:888-897-8947
Mailing Address - Fax:617-772-5519
Practice Address - Street 1:253 SUMMER ST
Practice Address - Street 2:5TH FLR - CMA
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02210-1114
Practice Address - Country:US
Practice Address - Phone:888-897-8947
Practice Address - Fax:617-772-5519
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2023-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA172493363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health