Provider Demographics
NPI:1033516851
Name:CALABRESE, KATIE Y (RN)
Entity Type:Individual
Prefix:MR
First Name:KATIE
Middle Name:Y
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 TURTLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-1164
Mailing Address - Country:US
Mailing Address - Phone:978-799-9317
Mailing Address - Fax:
Practice Address - Street 1:5 JOY RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MA
Practice Address - Zip Code:01952-1318
Practice Address - Country:US
Practice Address - Phone:978-799-9317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2264213163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse