Individual
PETRA I. LUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
244 SISSON RD, HARWICH, MA 02645-2617
(508) 737-9925
Mailing address
244 SISSON RD, HARWICH, MA 02645-2617
(508) 737-9925
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
142189
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142189
R.N.
MA
Enumeration date
04/02/2008
Last updated
04/02/2008
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