Individual
THERESA PATENAUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 PONTES AVE, EAST FALMOUTH, MA 02536-5357
(508) 344-4750
Mailing address
31 PONTES AVE, EAST FALMOUTH, MA 02536-5357
(508) 344-4750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
218336
MA
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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