MEDICARE: MRS. MELANIE MARIE CRONIN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN2345208	MA
2	163W00000X	Registered Nurse	RN2345208	MA

General Provider Information

NPI Number	:	1861238974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELANIE MARIE CRONIN RN

Provider Business Mailing Address
First Line	:	67 S BEDFORD ST STE 202
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-5108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	67 S BEDFORD ST STE 202
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-5108
Country	:	US
Telephone Number	:	781-744-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2024
Last Update Date	:	05/19/2026

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