Mrs. Kathleen E Fortini
Nurse Practitioner - Pediatrics
51 Mill St Building E #17
Hanover
, Massachusetts 02339-1641
Mrs. Kathleen E Fortini
Nurse Practitioner - Pediatrics
51 Mill St Building E #17
Hanover
, Massachusetts 02339-1641
(781) 826-4513
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Kathleen E Fortini
- 51 Mill St Building E #17
- Hanover, MA
- Zip : 02339-1641
- Fax : (781) 826-4513
- Phone : (781) 826-2131
Second Address
- Mrs. Kathleen E Fortini
- 51 Mill St Building E #17
- Hanover, MA
- Zip : 02339-1641
- Fax : (781) 826-4513
- Phone : (781) 826-2131
Reviews
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What type of doctor is Mrs. Kathleen E Fortini
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Is Mrs. Kathleen E Fortini a sole practitioner?
Is Mrs. Kathleen E Fortini accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 154202 | MA |
National Provider Identifier
| NPI | 1023009495 |
|---|---|
| Provider Name | Mrs. Kathleen E Fortini |
| First Address | Hanover, MA 02339-1641 |
| Second Address | Hanover, MA 02339-1641 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2005 |
| Last Update Date | 11/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0390330 | (05) | MA |
| NP2408 | BCBS (01) | MA |
| P06095 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.