Individual
REBEKA KEUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
ANDOVER PEDIATRICS, 203 TURNPIKE ST, SUITE 200, NORTH ANDOVER, MA 01845
(978) 475-4522
(978) 688-6047
Mailing address
ANDOVER PEDIATRICS, 203 TURNPIKE ST, SUITE 200, NORTH ANDOVER, MA 01845
(978) 475-4522
(978) 688-6047
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2300890
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110158248A
—
MA
Enumeration date
02/08/2019
Last updated
11/15/2024
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