| Doctor Name: | KAITLIN CLOUGHERTY |
| NPI Number: | 1326457946 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 2261365 |
| Business Practice Address: | 1 Compass Way East Bridgewater, MA - 023331465 |
| Business Phone Number: | 5083502300 |
| Business Fax Number: | 5083502314 |
| Mailing Address: | 362 N Bedford St, EAST BRIDGEWATER |
| State: | MA |
| Postal Code: | 023331148 |
| Phone Number: | 5083502350 |
| Fax Number: | 5083502318 |
| NPI Enumeration Date: | 08/07/2014 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2261365 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |