Doctor Name: | KRISTEN CAHILL |
NPI Number: | 1003027574 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 254981 |
Business Practice Address: | 106 Central St Wellesley, MA - 024818268 |
Business Phone Number: | 7812832810 |
Business Fax Number: | 7812833693 |
Mailing Address: | 88 Dunster Rd, JAMAICA PLAIN |
State: | MA |
Postal Code: | 021302732 |
Phone Number: | 7812832810 |
Fax Number: | 7812833693 |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 254981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |