Mrs. Colleen Stivaletta
Nurse Practitioner - Pediatrics
55 Fogg Rd
Weymouth
, Massachusetts 02190-2455
Mrs. Colleen Stivaletta
Nurse Practitioner - Pediatrics
55 Fogg Rd
Weymouth
, Massachusetts 02190-2455
(781) 461-6767
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Colleen Stivaletta
- 719 Providence Hwy
- Dedham, MA
- Zip : 02026-6832
- Phone : (781) 461-6767
Second Address
- Mrs. Colleen Stivaletta
- 55 Fogg Rd
- Weymouth, MA
- Zip : 02190-2455
- Phone : (781) 624-4075
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN2266817 | MA |
National Provider Identifier
| NPI | 1013534627 |
|---|---|
| Provider Name | Mrs. Colleen Stivaletta |
| First Address | Dedham, MA 02026-6832 |
| Second Address | Weymouth, MA 02190-2455 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2020 |
| Last Update Date | 09/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.