Individual
NICOLA KATHERINE BRETHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 QUINCY ST, BROCKTON, MA 02302-2926
(508) 580-1890
Mailing address
15 PINEWOOD RD, NEEDHAM, MA 02492-3311
(781) 540-1939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2326801
MA
Other
Enumeration date
12/10/2021
Last updated
07/17/2023
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