Gaudet, Kacie Kiyoko Nakamura

Gaudet, Kacie Kiyoko Nakamura is an individual health care provider with primary practice located at 6 Resnik Rd , Plymouth MA 02360-4873. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gaudet, Kacie Kiyoko Nakamura can be contacted via phone (508) 747-2620.

Contact Information

Primary practice address
6 Resnik Rd Plymouth MA 02360-4873
Phone: (508) 747-2620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2274692 Massachusetts

Profile Details

NPI number 1043568827
LBN Legal business name Gaudet, Kacie Kiyoko Nakamura
Credentials R.N, C.P.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2012
Last updated Aug 27th, 2012 - about 14 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 1043568827 NPPES
Other 20121631 PEDIATRIC NURSING CERTIFICATION BOARD

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