Individual
KRISTIN CONNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
725 ALBANY STREET, SUITE 7B, SHAPIRO BLDG, BOSTON, MA 02118
(617) 638-8456
(617) 638-8465
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN253397
MA
363LF0000X
Family Nurse Practitioner
253397
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110186726A
—
MA
05
—
3137640
—
NH
Enumeration date
09/23/2021
Last updated
06/16/2023
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