Provider Demographics
NPI:1932751849
Name:KAZANJIAN, KATRINA L (RN)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:L
Last Name:KAZANJIAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 ELIZABETH RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-2022
Mailing Address - Country:US
Mailing Address - Phone:617-838-7584
Mailing Address - Fax:
Practice Address - Street 1:29 ELIZABETH RD
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-2022
Practice Address - Country:US
Practice Address - Phone:617-838-7584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN252185163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse