Provider Demographics
NPI:1740531367
Name:PENNY, KATHERINE COOK (MSN, RN, CWOCN, CPNP)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:COOK
Last Name:PENNY
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Gender:F
Credentials:MSN, RN, CWOCN, CPNP
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Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:BOSTON CHILDRENS HOSPITAL, 8 EAST CARDIOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-8083
Mailing Address - Fax:617-734-1034
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:BOSTON CHILDRENS HOSPITAL, 8 EAST CARDIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-8083
Practice Address - Fax:617-734-1034
Is Sole Proprietor?:No
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
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Provider Licenses
StateLicense IDTaxonomies
MARN256805363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics