Most Relevant Information
Provider Data
| NPI Number: | 1003403841 |
| Provider Name: | MIKHAILA CICELY MARECKI NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | RN2328538 |
Most Important Dates
| Enumeration Date: | 12/28/2020 |
| Last Updated: | 12/29/2020 |
Provider Practice Location
15 PARKMAN ST # 460
BOSTON
MA
021143117
Practice Location Phone/Fax
| Phone: | 6177248655 |
| Fax: |
Provider Mailing Location
1074 BOYLSTON ST APT 1
BOSTON
MA
022153668
Provider Mailing Phone/Fax
| Phone: | 8604800813 |
| Fax: |