Individual
MRS. KATHRYN DELACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
18 RIVERWOOD DR, MANSFIELD, MA 02048-1775
(617) 212-5318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN273564
MA
363LN0000X
Neonatal Nurse Practitioner
Primary
NPP37591
RI
Other
Enumeration date
12/17/2010
Last updated
04/27/2017
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