Provider Demographics
NPI:1578795449
Name:FINN, KATHLEEN T (NP)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:T
Last Name:FINN
Suffix:
Gender:F
Credentials:NP
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:820 HARRISON AVE
Mailing Address - Street 2:FGH 2009
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2905
Mailing Address - Country:US
Mailing Address - Phone:617-638-8256
Mailing Address - Fax:617-638-6518
Practice Address - Street 1:820 HARRISON AVE
Practice Address - Street 2:FGH 2009
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2905
Practice Address - Country:US
Practice Address - Phone:617-638-8256
Practice Address - Fax:617-638-6518
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA16423363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health