Healthcare Provider Details

I. General information

NPI: 1306220090
Provider Name (Legal Business Name): CAITLIN COIT R.N., MSN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2696
US

IV. Provider business mailing address

22 RANGELEY RD
WINCHESTER MA
01890-2633
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-4019
  • Fax: 617-726-2167
Mailing address:
  • Phone: 617-921-4199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number653577
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN2276739
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2276739
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: