KATHLEEN L TREADUP NP NPI 1578530655

NPI Information

NPI: 1578530655
Provider Name: KATHLEEN L TREADUP, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
480 HAWTHORN ST
NORTH DARTMOUTH, MA
ZIP 02747
Phone: (508) 996-3991
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Kathleen L Treadup, NP is an adult health nurse practitioner in North Dartmouth, MA. Kathleen L Treadup, NP NPI is 1578530655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

480 HAWTHORN ST
NORTH DARTMOUTH, MA
ZIP 02747-713
Phone: (508) 996-3991

The enumeration date for this NPI number is 3/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	131703	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S48593	MEDICARE UPIN
2	NP0874	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	0339857	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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