Doctor Name: | KATHERINE ADELE DE KANTER |
NPI Number: | 1114256674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN256855 |
Business Practice Address: | 65 Newburyport Tpke Newbury, MA - 019511113 |
Business Phone Number: | 9784659770 |
Business Fax Number: | |
Mailing Address: | 30 Plummer Ave, NEWBURYPORT |
State: | MA |
Postal Code: | 019501947 |
Phone Number: | 9784638187 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2009 |
NPI Last Update Date: | 05/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN256855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |