Most Relevant Information
Provider Data
| NPI Number: | 1003295049 |
| Provider Name: | KATHERINE NILDA VISCARRA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN2279210 |
Most Important Dates
| Enumeration Date: | 05/22/2015 |
| Last Updated: | 05/22/2015 |
Provider Practice Location
30 WARREN ST
BRIGHTON
MA
021353602
Practice Location Phone/Fax
| Phone: | 6172543800 |
| Fax: |
Provider Mailing Location
30 WARREN ST
BRIGHTON
MA
021353602
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |