| Doctor Name: | PAULINE ETENG |
| NPI Number: | 1487026399 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN281216 |
| Business Practice Address: | 16 Sweet Grass Ln Holliston, MA - 017462532 |
| Business Phone Number: | 7742170608 |
| Business Fax Number: | |
| Mailing Address: | 309 Belmont Street, Worcester Recovery Center And Hospital WORCESTER |
| State: | MA |
| Postal Code: | 01604 |
| Phone Number: | 5083684000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2015 |
| NPI Last Update Date: | 10/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN281216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |