Individual
KATERI EGAN MCGUINNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
55 FRUIT ST, PATA JACKSON 121, BOSTON, MA 02114-2621
(617) 643-2105
Mailing address
37 ESSEX ST, #2, CHARLESTOWN, MA 02129-1615
(617) 480-7116
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN234628
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN234628
MA
Other
Enumeration date
03/18/2013
Last updated
02/16/2017
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