NPI 1700380565 · live from the CMS NPI Registry
Peggy Ann Berthelette-Brochu, CPNP-PC
Nurse Practitioner, Pediatrics in East Freetown, MA. National Provider Identifier 1700380565, active.
NPI record
| NPI | 1700380565 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1 Chipaway Ln, East Freetown, MA 02717 |
| Practice phone | 508-951-0403 |
| Enumerated | March 19, 2018 |
| Last updated | August 21, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 186807 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.