Individual
KATHRYN ROSE KOESTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY STREET, SUITE 3A, SHAPIRO BLDG., BOSTON, MA 02118
(617) 414-4861
(617) 414-3617
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2292372
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2292372
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110156088A
—
MA
Enumeration date
07/23/2019
Last updated
04/16/2024
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