Individual
KATIE ELLIOTT FADAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(978) 273-9140
Mailing address
31 CANDLESTICK RD, NORTH ANDOVER, MA 01845-3235
(978) 273-9140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN278296
MA
363LW0102X
Women's Health Nurse Practitioner
RN278296
MA
Other
Enumeration date
03/02/2010
Last updated
09/09/2024
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