Provider Demographics
NPI:1780032474
Name:MCKITRICK, ROSEMARY (BA,RN,IBCLC,MED)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:MCKITRICK
Suffix:
Gender:F
Credentials:BA,RN,IBCLC,MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 MOUNT BLUE ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1012
Mailing Address - Country:US
Mailing Address - Phone:781-864-9225
Mailing Address - Fax:
Practice Address - Street 1:260 MOUNT BLUE ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1012
Practice Address - Country:US
Practice Address - Phone:781-864-9225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA142071163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant