Provider Demographics
NPI:1427245463
Name:KENT, MAUREEN PATRICIA (RN)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:PATRICIA
Last Name:KENT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LONG ACRE RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02092
Mailing Address - Country:US
Mailing Address - Phone:781-690-6776
Mailing Address - Fax:
Practice Address - Street 1:14 LONGACRE RD
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-4112
Practice Address - Country:US
Practice Address - Phone:781-690-6776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228719163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse