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Contact Information

ELIZABETH P KETTYLE, CNM
10 GOVE STREET
EAST BOSTON NEIGHBORHOOD HEALTH CENTER
EAST BOSTON, MA02128
 Phone: 617-569-5800
 Fax: 617-568-4780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for ELIZABETH P KETTYLE · (Female)

NPI Number 1780735613
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 01/16/2007
Last updated 05/17/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MA License # RN240561
  • MA Medicaid 0340570
  • MA Other CN0240 BCBS
  • MA Other 1910257-001 CIGNA
  • MA Other 5715344 HCVM
  • MA Other HV0044 HPHC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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