Individual
KATHLEEN NORA COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, C-NP
Contact information
Practice address
750 WASHINGTON ST, BOSTON, MA 02111-1526
(617) 636-9854
Mailing address
13 QUEENS GUARD WAYE, MARSHFIELD, MA 02050-4102
(339) 793-1769
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN236723
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN236723
MA LICENSE NUMBER
MA
Enumeration date
12/11/2019
Last updated
12/17/2019
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