Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN2295615 | MA |
NPI | 1033588967 |
---|---|
Provider Name | Kathryn Elizabeth Bell |
First Address | Boston, MA 02110-1356 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2015 |
Last Update Date | 24/06/2016 |