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Individual

KATHERINE ADELE DE KANTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
101 WALNUT ST, WATERTOWN, MA 02472-4054
(888) 897-1887
Mailing address
30 PLUMMER AVE, NEWBURYPORT, MA 01950-1947
(978) 463-8187

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95026234
CA
363LF0000X
Family Nurse Practitioner
Primary
RN256855
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95026234
APRN LICENSE
CA
Enumeration date
12/12/2009
Last updated
04/09/2026
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