Individual
KATHERINE SHORTELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3342
Mailing address
375 BOYLSTON ST, BROOKLINE, MA 02445-6007
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN267425
MA
Other
Enumeration date
02/06/2012
Last updated
02/25/2020
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