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

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