Individual provider · Type 1 NPI

Mary Coughlin, NP

Pediatric Nurse Practitioner · Dorchester, MA

NPI number 1699751123 Active

Practice location

398 Neponset Ave
Dorchester, MA 02122-3134

Fax (617) 282-7928

Mailing address

55 Hodgkinson St
Quincy, MA 02169-5907

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X169259 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1699751123

Mary Coughlin, NP's National Provider Identifier is 1699751123, issued on Dec 16, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dorchester, MA. The record was last updated on Jul 13, 2026.