Individual
KATRINA HANSCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-1293
Mailing address
86 AUCKLAND ST, BOSTON, MA 02125-3327
(617) 599-5965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2291209
MA
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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