Individual provider · Type 1 NPI

Ketma Pericles

Licensed Practical Nurse · Cambridge, MA

NPI number 1760119648 Active

Practice location

1493 Cambridge St
Cambridge, MA 02139-1047

Call (781) 397-6546 Map

Mailing address

36 Tea Party Way
Malden, MA 02148-1980

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLN69424 (MA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1760119648

Ketma Pericles's National Provider Identifier is 1760119648, issued on Aug 2, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cambridge, MA. The record was last updated on Aug 2, 2022.