Kathleen Connolly NP

NPI 1043284417 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1043284417
Gender Female
Enumeration Date 02/14/2006
Last Updated 05/02/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
133 BROOKLINE AVE
BOSTON MA, 02215-3904, US
Phone (617) 421-1000
Fax (617) 421-6084
Business Location
147 MILK ST
PROVIDER ENROLLLMENT - 9TH FLOOR
BOSTON MA, 02109-4806, US
Phone (617) 559-8053
Fax (617) 421-3487
Toxanomy
Taxonomy Code 363L00000X
License State Massachusetts
License Number 152188
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According to our database, Kathleen Connolly NP NPI is 1043284417, taxonomy code is 363L00000X and license number is 152188, license state is located at Massachusetts. Kathleen Connolly NP physically located at 133 Brookline Ave, Boston MA, 02215-3904. NPI Number Kathleen Connolly NP has the Individual type.

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1043284417 NPI number is provided on an as is basis without warranty of any kind. 1043284417 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Connolly NP are for informational purposes only.