Individual
COURTNEY HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
51 BLOSSOM ST, BOSTON, MA 02114-2601
(508) 930-0624
Mailing address
51 BLOSSOM ST, BOSTON, MA 02114-2601
(508) 930-0624
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2299323
MA
Other
Enumeration date
09/10/2016
Last updated
09/10/2016
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