Individual provider · Type 1 NPI

Kathleen Elizabeth Mavrogiannis, CPNP-PC/AC

Pediatric Nurse Practitioner · Boston, MA

NPI number 1871182055 Active

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Call (617) 355-6000 Map

Other practice locations

  • 9 Hope Ave, Waltham, MA 02453-2741 · (781) 216-2100

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN2327836 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1871182055

Kathleen Elizabeth Mavrogiannis, CPNP-PC/AC's National Provider Identifier is 1871182055, issued on Jan 13, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jan 13, 2021.