Individual
KATHERINE MOHR PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN, FNP
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
163WC0200X
Critical Care Medicine Registered Nurse
RN2334574
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2334574
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110219074A
—
MA
Enumeration date
02/05/2025
Last updated
04/24/2025
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