Individual
MRS. KATHLEEN MARY PENDER-PHANEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
81 WINTHROP AVENUE, LOWELL, MA 01851-4112
(978) 204-2052
(978) 452-5453
Mailing address
81 WINTHROP AVENUE, LOWELL, MA 01851-4112
(978) 204-2052
(978) 452-5453
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN145657
MA
363LF0000X
Family Nurse Practitioner
Primary
RN145657
MA
Other
Enumeration date
09/11/2020
Last updated
11/10/2020
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