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NPI Code Detail

MEDICARE: CATHERINE IRENE ROSSANO RN

MEDICARE: CATHERINE IRENE ROSSANO RN
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
1163WM0705XMedical-Surgical Registered NurseRN274074MA

General Provider Information

NPI Number : 1265394191
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE IRENE ROSSANO RN
Provider Business Mailing Address
First Line : 85 HERRICK ST
Second Line :
City : BEVERLY
State : MA
Zip : 01915-1790
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 85 HERRICK ST
Second Line :
City : BEVERLY
State : MA
Zip : 01915-1790
Country : US
Telephone Number : 978-922-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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