Individual
MRS. ALISON RHODES KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
55 FRUIT ST, MASSACHUSETTS GENERAL HOSPITAL, FOUNDERS 610, BOSTON, MA 02114-2621
(603) 520-1245
Mailing address
55 FRUIT ST, FOUNDERS 600, BOSTON, MA 02114-2621
(603) 520-1245
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2277595
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2277595
MA
Other
Enumeration date
04/03/2013
Last updated
10/01/2019
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