Individual
MRS. KAITLYN FRANCES BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
(978) 878-8537
Mailing address
326 NICHOLS RD, FITCHBURG, MA 01420
(978) 878-8100
(978) 878-8537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
069276-21
NH
163W00000X
Registered Nurse
26NR16441600
NJ
163W00000X
Registered Nurse
L10042610
DE
163W00000X
Registered Nurse
RN2292936
MA
163W00000X
Registered Nurse
RN634919
PA
363LF0000X
Family Nurse Practitioner
069276-23
NH
363LF0000X
Family Nurse Practitioner
Primary
RN2292936
MA
Other
Enumeration date
07/11/2013
Last updated
08/12/2015
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