Individual provider · Type 1 NPI
Colleen Stivaletta
Pediatric Nurse Practitioner · Braintree, MA
NPI number
1013534627
Active
Practice location
97 Pearl St
Braintree, MA 02184
Mailing address
719 Providence Hwy
Dedham, MA 02026-6832
Other practice locations
- 719 Providence Hwy, Dedham, MA 02026-6832 · (781) 461-6767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2266817 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2266817 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1013534627
Colleen Stivaletta's National Provider Identifier is 1013534627, issued on Jun 30, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Braintree, MA. The record was last updated on Mar 8, 2022.