Individual
MAURA KOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
480 PLEASANT ST # 300A, WATERTOWN, MA 02472-2463
(617) 926-9000
(617) 926-7053
Mailing address
330 MOUNT AUBURN ST, PARSONS 2, CAMBRIDGE, MA 02138-2463
(978) 799-3670
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN10002358
MA
363LF0000X
Family Nurse Practitioner
Primary
APRN10002358
MA
Other
Enumeration date
07/17/2024
Last updated
08/27/2024
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