Ketia Geralde Eliscar Catin, FNP
Nurse Practitioner, Family in Cambridge, MA. Individual provider (NPI-1).
NPI number1962010371
StatusActive
Last updated in NPPESDec 18, 2022
Details
- NPI
- 1962010371
- Entity type
- Individual (NPI-1)
- Name
- Ketia Geralde Eliscar Catin
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2020
- Certification date
- Dec 18, 2022
- Last updated
- Dec 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F11220920 | MA | Yes |
| 163WC1500X | Registered Nurse, Community Health | RN2258980 | MA |
Practice location
58 Charles StCambridge, MA 02141-2128
Phone 617-953-1387
Mailing address
235 Wellesley StWeston, MA 02493-1572
Phone 617-953-1387
Other practice locations
67 Lisle St
Braintree, MA 02184-5004
Braintree, MA 02184-5004
Phone 617-531-3879
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