Individual provider · Type 1 NPI
Marietta Kenyan
Nurse Practitioner · Worcester, MA
Practice location
55 Lake Ave N
Worcester, MA 01655-0002
Fax (508) 856-3981
Mailing address
PO Box 415348
Boston, MA 02241-5348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN2266809 (MA) |
| Family Nurse Practitioner | 363LF0000X | RN2266809 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1487024980
Marietta Kenyan's National Provider Identifier is 1487024980, issued on Sep 28, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Worcester, MA. The record was last updated on Apr 25, 2016.