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Marietta Kenyan
Family Nurse Practitioner in Worcester, Massachusetts
NPI 1487024980

Marietta Kenyan is a Family Nurse Practitioner based in Boston, MA and is specialized in Family. Marietta Kenyan practices in Worcester, MA. The NPI Number for Marietta Kenyan is 1487024980 and holds a License No. RN2266809 (Massachusetts).

The current practice location address for Marietta Kenyan is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-334-0689 and via fax at 508-856-3981.

Location: 55 Lake Ave N, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487024980
Provider Name
Marietta Kenyan
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA, 02241-5348
Phone Number
508-334-0689
Fax Number
508-856-3981
Provider Enumeration Date
09/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-0689
Fax Number
508-856-3981
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-0689
Fax Number
508-856-3981
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN2266809 (Massachusetts)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN2266809 (Massachusetts)
Definition
Definition to come...
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