Individual
MRS. KATHRYN L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8117
Mailing address
731 RIVER ST, WINCHENDON, MA 01475-1932
(978) 569-5390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN232773
MA
363LA2100X
Acute Care Nurse Practitioner
RN232773
MA
364SP0200X
Pediatric Clinical Nurse Specialist
RN232773
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110081363A
—
MA
Enumeration date
08/28/2008
Last updated
12/07/2021
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