Individual
CATHERINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 PARKMAN ST, BOSTON, MA 02114-3117
(617) 724-5600
Mailing address
271 GREAT PLAIN AVE, NEEDHAM, MA 02492-4129
(781) 343-1767
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2317087
MA
363L00000X
Nurse Practitioner
Primary
RN2317087
MA
Other
Enumeration date
06/03/2019
Last updated
01/03/2022
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