Individual provider · Type 1 NPI
Kathleen Mary Pender-Phaneuf, RN NP
Family Nurse Practitioner · Lowell, MA
NPI number
1487269882
Active
Practice location
81 Winthrop Avenue
Lowell, MA 01851-4112
Fax (978) 452-5453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN145657 (MA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN145657 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1487269882
Kathleen Mary Pender-Phaneuf, RN NP's National Provider Identifier is 1487269882, issued on Sep 11, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lowell, MA. The record was last updated on Nov 10, 2020.