Individual
KATHRYN ROSE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 PIERCE AVE, FITCHBURG, MA 01420-7160
(978) 577-0437
(978) 345-4730
Mailing address
19 PIERCE AVE, FITCHBURG, MA 01420-7160
(785) 770-4379
(978) 345-4730
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2310642
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2310642
MA
Other
Enumeration date
12/08/2023
Last updated
01/25/2024
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