Doctor Name: | KATELYN E GONCALVES |
NPI Number: | 1881934578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN, CPHT, RPHT |
License Number: | LN89142 |
Business Practice Address: | 383 Main St Fitchburg, MA - 014208006 |
Business Phone Number: | 7749303989 |
Business Fax Number: | 8663053779 |
Mailing Address: | Po Box 7037, FITCHBURG |
State: | MA |
Postal Code: | 014200019 |
Phone Number: | 7749303989 |
Fax Number: | 8663053779 |
NPI Enumeration Date: | 02/18/2013 |
NPI Last Update Date: | 02/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | LN89142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |