Individual
KATIE DYMPNA PATRICIA IADONISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, A-GNP-C, OCN
Contact information
Practice address
101 COLUMBIAN ST, SOUTH WEYMOUTH, MA 02190-1601
(781) 624-4800
Mailing address
101 COLUMBIAN ST, SOUTH WEYMOUTH, MA 02190-1601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5016311
NC
363LA2200X
Adult Health Nurse Practitioner
5016311
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2361573
MA
363LG0600X
Gerontology Nurse Practitioner
5016311
NC
Other
Enumeration date
06/06/2022
Last updated
02/02/2023
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