Provider Demographics
NPI:1972954451
Name:GIGUERE, KATHRYN JANE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:JANE
Last Name:GIGUERE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GRAF ROAD
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950
Mailing Address - Country:US
Mailing Address - Phone:970-462-1110
Mailing Address - Fax:970-462-3889
Practice Address - Street 1:7 GRAF ROAD
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950
Practice Address - Country:US
Practice Address - Phone:970-462-1110
Practice Address - Fax:970-462-3889
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA298228363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400373164Medicare UPIN