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Individual

ANNE K. KIRAITHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-8270
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
273758
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN273758
MA
363LF0000X
Family Nurse Practitioner
RN273758
MA

Other

Enumeration date
08/04/2014
Last updated
10/31/2022
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