Individual provider · Type 1 NPI

Kathleen Connolly, NP

Pediatric Nurse Practitioner · Boston, MA

NPI number 1043284417 Active

Practice location

133 Brookline Ave
Boston, MA 02215-3904

Call (617) 421-1000 Map

Fax (617) 421-6084

Mailing address

147 Milk St, Provider Enrolllment - 9th Floor
Boston, MA 02109-4806

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X152188 (MA)
Pediatric Nurse Practitioner Primary 363LP0200X152188 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1043284417

Kathleen Connolly, NP's National Provider Identifier is 1043284417, issued on Feb 14, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on May 2, 2014.