Healthcare Provider Details

I. General information

NPI: 1558976167
Provider Name (Legal Business Name): KATHLEEN ELIZABETH DALTON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HARRINGTON RD
WESTMINSTER MA
01473-1521
US

IV. Provider business mailing address

20 HARRINGTON RD
WESTMINSTER MA
01473-1521
US

V. Phone/Fax

Practice location:
  • Phone: 978-571-6040
  • Fax:
Mailing address:
  • Phone: 978-571-6040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN282352
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: