Individual
GRETCHEN STUWE-KEOHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,C.S.
Contact information
Practice address
100 CUMMINGS CTR, SUITE 126Q, BEVERLY, MA 01915-6115
(978) 524-8181
(978) 524-9868
Mailing address
170 CHESTNUT ST, ANDOVER, MA 01810-1821
(978) 524-8181
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
148526
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP0114
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/22/2006
Last updated
04/30/2010
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