Individual
KATELYN ROSE CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
950 WINTER ST STE 3800, WALTHAM, MA 02451-1405
(781) 779-5172
Mailing address
44 SHORE DR, SALEM, NH 03079-1337
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN277452
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093599A
—
MA
Enumeration date
07/12/2012
Last updated
11/09/2023
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