Individual
KATELYN MICHELLE PENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 WASHINGTON ST, WEYMOUTH, MA 02188-2932
(781) 626-5160
Mailing address
87 BLUEJAY WAY, PEMBROKE, MA 02359-3341
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN275919
MA
363LF0000X
Family Nurse Practitioner
Primary
RN275919
MA
Other
Enumeration date
11/17/2019
Last updated
03/23/2020
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