Basic Information
| Provider Information | |||||||||
| NPI: | 1588278162 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAHER | ||||||||
| FirstName: | KATHLEEN | ||||||||
| MiddleName: | COLLINS | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7 SHEPLEY ST | ||||||||
| Address2: | |||||||||
| City: | GROTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014501630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136588155 | ||||||||
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| Practice Location | |||||||||
| Address1: | 148 WARREN ST | ||||||||
| Address2: | |||||||||
| City: | LOWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018522208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9784536800 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/01/2020 | ||||||||
| LastUpdateDate: | 09/01/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN271684 | MA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.