Individual
KATIE FAVREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 VARNUM AVE STE 201, LOWELL, MA 01854-2141
(978) 452-9700
Mailing address
275 VARNUM AVE STE 201, LOWELL, MA 01854-2141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2266984
MA
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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