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Beverly E Ketchen, NP
Nurse Practitioner in Medford, Massachusetts
NPI 1689633489

Beverly E Ketchen is a Nurse Practitioner based in Medford, MA. Beverly E Ketchen practices in Medford, MA and has the professional credentials of NP. The NPI Number for Beverly E Ketchen is 1689633489 and holds a License No. 110231 (Massachusetts).

The current practice location address for Beverly E Ketchen is 26 City Hall Mall, Medford, MA and can be reached out via phone at 781-306-5100.

Location: 26 City Hall Mall, Medford, MA, 02155-4754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689633489
Provider Name
Beverly E Ketchen
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
26 City Hall Mall, Medford, MA, 02155-4754
Phone Number
781-306-5100
Fax Number
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
N409 01 MA HARVARD PILGRIM
NP1624 01 MA BLUE CROSS
0359980 05 MA
institution
Provider Business Practice Location Address Details
Address
26 City Hall Mall
City
Medford
State
Massachusetts
Zip
02155-4754
Phone Number
781-306-5100
Fax Number
person
Provider Business Mailing Address Details
Address
26 City Hall Mall
City
Medford
State
Massachusetts
Zip
02155-4754
Phone Number
781-306-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
110231 (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.
110231 (Massachusetts)
Definition
Definition to come...
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