Mary Kigotho, BSN RN

Individual provider Active NPI Registered Nurse · Pepperell, MA

NPI 1114752011 · NPPES record last updated Sep 3, 2024

Key facts

NPI
1114752011
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN2305807 (MA)
Practice address
27 Emerson Cir
Pepperell, MA 01463-1498
Phone
(978) 328-8541
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2305807MAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2305807 MA Yes

Addresses

Primary practice location

27 Emerson Cir
Pepperell, MA 01463-1498

Mailing address

27 Emerson Cir
Pepperell, MA 01463-1498
Phone (978) 328-8541

Other providers in Pepperell, MA

All providers in Pepperell, MA · Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.