Individual
MRS. KRISTEN OTERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
789 EAST ST, DEDHAM, MA 02026-5004
(508) 783-7209
Mailing address
789 EAST ST, DEDHAM, MA 02026-5004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2291710
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2291710
MASS BOARD OF NURSING
MA
Enumeration date
11/26/2019
Last updated
11/26/2019
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