Individual
KERRY PIMENTEL TAVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
440 SWANSEA MALL DR, SWANSEA, MA 02777
(508) 675-5640
Mailing address
440 SWANSEA MALL DR, SWANSEA, MA 02777-4114
(508) 675-5640
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN257460
MA
363LA2200X
Adult Health Nurse Practitioner
RN257460
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN257460
MA
Other
Enumeration date
02/02/2006
Last updated
11/08/2019
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