Theresa Goretti
Registered Nurse in Lynn, MA. Individual provider (NPI-1).
NPI number1891306643
StatusActive
Last updated in NPPESAug 14, 2020
Details
- NPI
- 1891306643
- Entity type
- Individual (NPI-1)
- Name
- Theresa Goretti
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2020
- Certification date
- Aug 14, 2020
- Last updated
- Aug 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 2266240 | MA | Yes |
Practice location
269 Union StLynn, MA 01901-1314
Phone 781-581-3900
Mailing address
16 Mansfield StSomerville, MA 02143-3102
Phone 508-277-6054
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