Individual
KETIA GERALDE ELISCAR CATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
58 CHARLES ST, CAMBRIDGE, MA 02141-2128
(617) 953-1387
Mailing address
235 WELLESLEY ST, WESTON, MA 02493-1572
(617) 953-1387
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN2258980
MA
363LF0000X
Family Nurse Practitioner
Primary
F11220920
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962010371
COMMUNITY HEALTH
MA
Enumeration date
07/21/2020
Last updated
12/18/2022
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