Provider Demographics
NPI:1740621895
Name:VOZEOLAS, KATHERINE S (RN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:S
Last Name:VOZEOLAS
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 1:453 STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-3001
Mailing Address - Country:US
Mailing Address - Phone:978-758-2604
Mailing Address - Fax:
Practice Address - Street 1:453 STEVENS ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-3001
Practice Address - Country:US
Practice Address - Phone:978-758-2604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN193824163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse