Individual
KATHERINE COLLINS PETTENGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP-BC
Contact information
Practice address
11 NORTHEASTERN BLVD STE 340, NASHUA, NH 03062-3139
(603) 860-3893
Mailing address
11 NORTHEASTERN BLVD STE 340, NASHUA, NH 03062-3139
(978) 441-0412
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
075197-23
NH
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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