Katherine Mitchell Hough, ADULT NURSE PRACTITI

Individual provider Active NPI Adult Health Nurse Practitioner · Vineyard Haven, MA

NPI 1295873545 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295873545
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
RN87001 (MA)
Practice address
322 State Rd
Family Planning of Mardtas Vineyard
Vineyard Haven, MA 02568
Phone
(508) 693-1208
Fax
(508) 693-1299
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN87001MAMDAdult Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN87001 MA Yes

Addresses

Primary practice location

322 State Rd
Family Planning of Mardtas Vineyard
Vineyard Haven, MA 02568

Mailing address

PO Box 281
West Tisbury, MA 02575
Phone (508) 693-2376

Other providers in Vineyard Haven, MA

All providers in Vineyard Haven, MA · Adult Health Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.