Individual
RYAN JAMES KATIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNP
Contact information
Practice address
300 WASHINGTON ST, BOSTON, MA 02108-4639
(617) 363-5566
Mailing address
15 HALE ST, WEYMOUTH, MA 02189-1042
(617) 750-3272
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN283478
MA
363L00000X
Nurse Practitioner
Primary
RN283478
MA
Other
Enumeration date
10/29/2020
Last updated
02/10/2022
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