person
Kathleen Wallace, NP
Family Nurse Practitioner in Boston, Massachusetts
NPI 1508010638

Kathleen Wallace is a Family Nurse Practitioner based in Charlestown, MA and is specialized in Family. Kathleen Wallace practices in Boston, MA and has the professional credentials of NP. The NPI Number for Kathleen Wallace is 1508010638 and holds a License No. 258192 (Massachusetts).

The current practice location address for Kathleen Wallace is 300 Longwood Ave, Boston, MA and can be reached out via phone at 617-355-8117.

Location: 300 Longwood Ave, Boston, MA, 02129
person
Provider Profile Details
NPI Number
1508010638
Provider Name
Kathleen Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
300 Longwood Ave, Boston, MA, 02129
Phone Number
617-355-8117
Fax Number
Provider Enumeration Date
11/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Longwood Ave
City
State
Zip
02115-5724
Phone Number
617-355-8117
Fax Number
person
Provider Business Mailing Address Details
Address
300 Longwood Ave
City
State
Zip
02115-5724
Phone Number
617-355-8117
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
258192 (Massachusetts)
Definition
Definition to come...
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