Individual
KATE E. MOTTAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
Mailing address
PO BOX 414402, BOSTON, MA 02241-0001
(866) 898-7138
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
211425
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362450
—
MA
01
—
NP3822
BCBS
MA
Enumeration date
09/13/2005
Last updated
05/20/2008
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