Individual
MRS. KATHERINE MARCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 312-8446
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 312-8446
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2279392
MA
363LF0000X
Family Nurse Practitioner
RN2279392
MA
Other
Enumeration date
08/07/2020
Last updated
01/22/2021
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