Individual
KATELYN ELIZABETH DUFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3570
(617) 632-4410
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3570
(617) 632-4410
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP60730651
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2343965
MA
Other
Enumeration date
02/02/2017
Last updated
04/02/2021
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