| Doctor Name: | MR. COURTNEY SULLIVAN FRATTO |
| NPI Number: | 1003124827 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | RN262019 |
| Business Practice Address: | 300 Longwood Ave Hunnewell Building 322 Boston, MA - 021155724 |
| Business Phone Number: | 8572184085 |
| Business Fax Number: | |
| Mailing Address: | 26 Edenfield Ave, WATERTOWN |
| State: | MA |
| Postal Code: | 024723629 |
| Phone Number: | 6176204032 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2010 |
| NPI Last Update Date: | 09/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN262019 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |