Katie Mae Correira, RN

Individual provider Active NPI Ambulatory Care Registered Nurse · Weston, MA

NPI 1619686722 · NPPES record last updated Nov 17, 2022

Key facts

NPI
1619686722
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Registered Nurse 163WP2201X
License
2329659 (MA)
Practice address
235 Wellesley St
Weston, MA 02493-1572
Phone
(781) 768-7000
NPI assigned
Nov 17, 2022
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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2329659MAMDAmbulatory Care Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 2329659 MA Yes

Addresses

Primary practice location

235 Wellesley St
Weston, MA 02493-1572

Mailing address

156 Field St
Taunton, MA 02780-1137
Phone (774) 218-4536

Other providers in Weston, MA

All providers in Weston, MA · Ambulatory Care Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.