Individual
MRS. CATHERINE GILLIGAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-4809
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-4809
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN277379
MA
363LF0000X
Family Nurse Practitioner
RN277379
MA
Other
Enumeration date
06/29/2015
Last updated
04/20/2022
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