Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PEGGY ANN BERTHELETTE-BROCHU, CPNP-PC
Deactivated Sole ProprietorMRS. PEGGY ANN BERTHELETTE-BROCHU, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in EAST FREETOWN, Massachusetts. NPI 1700380565 is deactivated in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · EAST FREETOWN, MA
This NPI has been deactivated.
The record was deactivated on August 11, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1700380565
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 19, 2018 (2.3972602739726 yrs)
- Last Updated
- Aug 21, 2020
- Deactivated
- Aug 11, 2020
- License
-
186807 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 CHIPAWAY LNEAST FREETOWN, MA, 027171510Browse MA providers · Browse ZIP 02717
- Phone
- 5089510403
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.