Individual provider · Type 1 NPI

Kathryn Shanahan

Pediatric Nurse Practitioner · Boston, MA

NPI number 1194248781 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Call (617) 355-3847 Map

Mailing address

62 Washington St
Stoneham, MA 02180-1257

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X2285571 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1194248781

Kathryn Shanahan's National Provider Identifier is 1194248781, issued on Jul 25, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jun 7, 2019.