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NPI Code Detail

MEDICARE: CATHERINE CANLAS DNP

MEDICARE: CATHERINE CANLAS DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN02609RI

General Provider Information

NPI Number : 1588241442
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE CANLAS DNP
Provider Business Mailing Address
First Line : 11 MAIN ST
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-3569
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 11 MAIN ST
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-3569
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2021
Last Update Date : 04/06/2023

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