Heavenly Medical Aesthetics, LLC

Organization Active NPI Nurse Practitioner · Marion, MA

NPI 1346019759 · NPPES record last updated Dec 27, 2023

Key facts

NPI
1346019759
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
HEAVENLY MEDICAL AESTHETICS, LLC
Practice address
345 Front St Ste 2
Marion, MA 02738-1583
Phone
(508) 317-2502
Fax
(508) 687-3324
NPI assigned
Dec 27, 2023
Organization subpart
No

Authorized official

Name
Kelsey Ceven
Title
President
Phone
(508) 317-2502

National Provider Directory

Locations

345 Front St
Ste 2
Marion, MA 02738
Phone (508) 317-2502

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363L00000X Yes

Addresses

Primary practice location

345 Front St Ste 2
Marion, MA 02738-1583

Mailing address

345 Front St Ste 2
Marion, MA 02738-1583
Phone (508) 317-2502

Other providers in Marion, MA

All providers in Marion, MA · Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.