Marietta Kenyan
NPI #1487024980 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1487024980
- Entity Type
- Individual
- Name
- Marietta Kenyan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 28, 2015
- Last Updated
- Apr 25, 2016
Practice Location
- Address
- 55 LAKE AVE N
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01655-0002
- Phone
- (508) 334-0689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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