Provider Demographics
NPI:1245559780
Name:KATURAMU, CLARE E
Entity type:Individual
Prefix:
First Name:CLARE
Middle Name:E
Last Name:KATURAMU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:E
Other - Last Name:KATURAMU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:39 COUNTRY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-7098
Mailing Address - Country:US
Mailing Address - Phone:508-584-7047
Mailing Address - Fax:
Practice Address - Street 1:842 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6232
Practice Address - Country:US
Practice Address - Phone:508-992-1500
Practice Address - Fax:508-992-1500
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213610363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health