Kathryn Jean Potenzone-chiariello I, NP | |
940 Belmont St, Brockton, MA 02301-5596 | |
(774) 826-1814 | |
Not Available |
Full Name | Kathryn Jean Potenzone-chiariello I |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 940 Belmont St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386296663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | AG07190141 (Massachusetts) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 2306212 (Massachusetts) | Primary |
Entity Name | Healthfair Plus Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20211103001058 |
Mailing Address | Practice Location Address |
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Kathryn Jean Potenzone-chiariello I, NP 940 Belmont St, Brockton, MA 02301-5596 Ph: (833) 933-1106 | Kathryn Jean Potenzone-chiariello I, NP 940 Belmont St, Brockton, MA 02301-5596 Ph: (774) 826-1814 |
Christine Nichole Lattuada, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl St, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578 | |
Rebecca Match, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Meadowbrook Rd, Brockton, MA 02301 Phone: 508-638-6006 | |
Jessica Santiccioli, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 | |
Nnemeka A Okpala, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 529 Pearl St, Brockton, MA 02301 Phone: 617-922-4626 | |
Mrs. Henrietta Amaka Ewuzie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Heritage Ct, Brockton, MA 02302 Phone: 857-233-1890 | |
Mrs. Rena B Levy, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0412 | |
Lauren Kaplan, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1324 Belmont St Ste 105, Brockton, MA 02301 Phone: 617-571-6732 |