Individual
KATE VITT FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
23 CENTRAL AVE, LYNN, MA 01901-1220
(781) 581-3900
Mailing address
11 MADISON ST, MEDFORD, MA 02155-2230
(603) 512-1044
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN280420
MA
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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