Individual
KELLY ELISABETH GARRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
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
(781) 216-2540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN2348374
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2348374
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110167038A
—
MA
Enumeration date
01/11/2019
Last updated
10/24/2024
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