Individual
MRS. KAYLA MARIE TENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-5079
Mailing address
409 AUBURN ST UNIT 2, AUBURNDALE, MA 02466-1802
(508) 801-3138
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2278978
MA
363LP2300X
Primary Care Nurse Practitioner
RN2278978
MA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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