Individual
KERRY ANA VITTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190
(781) 624-8000
Mailing address
163 LIBBEY PKWY STE 301, WEYMOUTH, MA 02189-3118
(781) 337-4224
(781) 335-0429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN268888
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN268888
MA
Other
Enumeration date
04/19/2017
Last updated
09/06/2018
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