Provider Demographics
NPI:1427003987
Name:LIND, EILEEN CATHERINE (MSN, RN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:CATHERINE
Last Name:LIND
Suffix:
Gender:F
Credentials:MSN, RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 W FALMOUTH HWY
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2118
Mailing Address - Country:US
Mailing Address - Phone:617-632-3283
Mailing Address - Fax:617-632-2473
Practice Address - Street 1:44 BINNEY STREET
Practice Address - Street 2:JIMMY FUND CLINIC DFCI
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-3283
Practice Address - Fax:617-632-2473
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216031363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA216031OtherNURSING LICENSE
MA216031OtherNURSING LICENSE