Individual
KRISTIN GRACE HANIFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2340156
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2340156
MA
Other
Enumeration date
07/14/2021
Last updated
03/10/2026
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