Petra I. Luddy, R.N.
Individual provider Active NPI Home Health Registered Nurse · Harwich, MA
NPI 1760655450 · NPPES record last updated Apr 2, 2008
Key facts
- NPI
- 1760655450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 142189 (MA)
- Practice address
- 244 Sisson Rd
Harwich, MA 02645-2617 - Phone
- (508) 737-9925
- NPI assigned
- Apr 2, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 142189 | MA | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 142189 | MA | Yes |
Addresses
Primary practice location
244 Sisson Rd
Harwich, MA 02645-2617
Mailing address
244 Sisson Rd
Harwich, MA 02645-2617
Phone (508) 737-9925
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142189 | Other | MA | R.N. |
Other providers in Harwich, MA
- Jacqueline Krzeminski
- Laboratory Corporation of America Holdings
- Jean Laterz
- Pamela Golay Latimer
- Melissa Long
- Betsy Lundell
- Maureen Flynn Lynch
- Mackoul and Associates Inc
- Robert Malin
- Karen Maney
All providers in Harwich, MA · Home Health Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.