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NPI Code Detail

MEDICARE: KATE E. MOTTAU NP

MEDICARE:   KATE E. MOTTAU  NP
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
1363L00000XNurse Practitioner211425MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NP3822OTHERMABCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376538611
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE E. MOTTAU NP
Provider Business Mailing Address
First Line : PO BOX 414402
Second Line :
City : BOSTON
State : MA
Zip : 02241-0001
Country : US
Telephone Number : 866-898-7138
Fax Number : 616-975-9824
Provider Business Practice Location Address
First Line : 235 N PEARL ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-1794
Country : US
Telephone Number : 508-427-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 05/20/2008

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