Individual
KATHERINE LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
147 MILK ST, BOSTON, MA 02109-4806
(339) 223-1370
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2309167
MA
Other
Enumeration date
06/16/2020
Last updated
10/13/2021
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