Individual
MRS. KATHLEEN E FORTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
51 MILL ST, BUILDING E #17, HANOVER, MA 02339-1641
(781) 826-2131
(781) 826-4513
Mailing address
51 MILL ST, BUILDING E #17, HANOVER, MA 02339-1641
(781) 826-2131
(781) 826-4513
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
154202
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390330
—
MA
01
—
NP2408
BCBS
MA
Enumeration date
11/03/2005
Last updated
05/11/2012
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