Individual
MISS KATHLEEN LAURA DEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
414 WASHINGTON ST, DEDHAM, MA 02026-4446
(781) 821-0734
Mailing address
28 CHERRY LN, BRAINTREE, MA 02184-7204
(781) 910-0259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2331556
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2331556
MA
Other
Enumeration date
03/25/2024
Last updated
04/16/2025
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