Carney, Katelyn Rose

Carney, Katelyn Rose is an individual health care provider with primary practice located at 950 Winter St Ste 3800 , Waltham MA 02451-1405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Carney, Katelyn Rose can be contacted via phone (781) 779-5172.

Contact Information

Primary practice address
950 Winter St Ste 3800 Waltham MA 02451-1405
Phone: (781) 779-5172
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN277452 Massachusetts

Profile Details

NPI number 1326303629
LBN Legal business name Carney, Katelyn Rose
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2012
Last updated Nov 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326303629 NPPES
Massachusetts MEDICAID 110093599A

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