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Individual

BRITTANY PENGEROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
19 RICHARDS ST, BILLERICA, MA 01821-1309
(978) 399-8831
Mailing address
19 RICHARDS ST, BILLERICA, MA 01821-1309

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2331150
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2331150
MA

Other

Enumeration date
07/19/2021
Last updated
07/08/2024
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