Individual
KERRIN MACLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2294076
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2294076
MA
Other
Enumeration date
11/06/2019
Last updated
09/27/2023
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