Individual
VICTOR GONCALVES PETRECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
13 FIELDSTONE LN, NATICK, MA 01760-5560
(617) 470-9990
Mailing address
13 FIELDSTONE LN, NATICK, MA 01760-5560
(617) 470-9990
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2277278
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2277278
MA
Other
Enumeration date
04/25/2012
Last updated
09/08/2013
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