Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN2259635 | MA |
NPI | 1043513666 |
---|---|
Provider Name | Courtney Elizabeth Catalano |
First Address | Brookline, MA 02445-7224 |
Second Address | Brookline, MA 02445-7224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2010 |
Last Update Date | 21/12/2010 |