Individual
MRS. PEGGY ANN BERTHELETTE-BROCHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1 CHIPAWAY LN, EAST FREETOWN, MA 02717-1510
(508) 951-0403
Mailing address
1 CHIPAWAY LN, EAST FREETOWN, MA 02717-1510
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
186807
MA
Other
Enumeration date
03/19/2018
Last updated
08/21/2020
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