Healthcare Provider Details

I. General information

NPI: 1861238974
Provider Name (Legal Business Name): MELANIE MARIE CRONIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 S BEDFORD ST STE 202
BURLINGTON MA
01803-5108
US

IV. Provider business mailing address

67 S BEDFORD ST STE 202
BURLINGTON MA
01803-5108
US

V. Phone/Fax

Practice location:
  • Phone: 781-744-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2345208
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2345208
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: