Individual
MS. KATIE MAE CORREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
235 WELLESLEY ST, WESTON, MA 02493-1572
(781) 768-7000
Mailing address
156 FIELD ST, TAUNTON, MA 02780-1137
(774) 218-4536
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
2329659
MA
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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