Individual
KATHERINE NYCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
85 1ST AVE, WALTHAM, MA 02451-1105
(678) 936-8059
Mailing address
85 1ST AVE, WALTHAM, MA 02451-1105
(678) 936-8059
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
2270207
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2270207
MA
363LG0600X
Gerontology Nurse Practitioner
RN2270207
MA
Other
Enumeration date
10/23/2012
Last updated
04/03/2015
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