Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marietta Kenyan

Individual provider Nurse Practitioner · NPI 1487024980

Marietta Kenyan is a Nurse Practitioner in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.

Licensed in
MA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-0689
Fax: (508) 856-3981
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2266809 (MA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2266809 (MA)

Record details

NPI number1487024980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2015
Last updated in NPPESApril 25, 2016
Mailing addressPo Box 415348, Boston, MA 02241-5348

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