Individual
KATLYN JEAN NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
147 S MAIN ST, MIDDLETON, MA 01949-2446
(978) 774-2555
Mailing address
147 S MAIN ST, MIDDLETON, MA 01949-2446
(978) 774-2555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2317025
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2317025
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01949
N/A
—
Enumeration date
05/19/2020
Last updated
11/02/2022
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