Active NPIIndividual provider

Mrs. Colleen Stivaletta

Nurse Practitioner, Pediatrics in Braintree, Massachusetts

NPI Number1013534627
Practice location
97 Pearl St, Braintree, MA 02184
Fax
—
Last updated
March 8, 2022

Colleen Stivaletta is a Nurse Practitioner, Pediatrics based in Braintree, MA. Colleen Stivaletta practices in Braintree, MA. The NPI Number for Colleen Stivaletta is 1013534627 and holds a License No. RN2266817 (MA). The current practice location address for Colleen Stivaletta is 97 Pearl St, Braintree, MA 02184 and can be reached out via phone at 781-848-5437.

Provider Profile Details

NPI Number
1013534627
Provider Name
Colleen Stivaletta
Provider Entity Type
Individual
Gender
Female
Address
97 Pearl St, Braintree, MA 02184
Phone Number
781-848-5437
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2020
Last Update Date
March 8, 2022
Certification Date
February 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
97 Pearl St
Braintree, MA 02184
Zip
02184
Phone Number
781-848-5437
Braintree, MA 02184Get directions →

Provider Business Mailing Address Details

Address
719 Providence Hwy
Dedham, MA 02026-6832
City
Dedham
State
MA
Zip
02026-6832
Phone Number
781-461-6767

License Information

License Number (1)
RN2266817
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2266817
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Colleen Stivaletta?

The NPI number of Mrs. Colleen Stivaletta is 1013534627. It was assigned on June 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Mrs. Colleen Stivaletta?

Mrs. Colleen Stivaletta is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN2266817.

Where does Mrs. Colleen Stivaletta practice?

The practice location is 97 Pearl St, Braintree, MA 02184. The office can be reached at 781-848-5437 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013534627 directly on the NPPES registry website.

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