Individual
KAITLYN N SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-8472
Mailing address
42 OLNEY ST APT 3F, DORCHESTER, MA 02121-3529
(717) 368-4318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2338208
MA
363LP2300X
Primary Care Nurse Practitioner
RN2338208
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
RN2338208
MA
Other
Enumeration date
01/03/2022
Last updated
03/15/2022
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