Healthcare Provider Details

I. General information

NPI: 1700308848
Provider Name (Legal Business Name): KATHRYN E DIFIORE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CAMBRIDGE ST
BOSTON MA
02114-2509
US

IV. Provider business mailing address

PO BOX 33357
BELFAST ME
04915-0611
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone: 888-731-8994
  • Fax: 888-732-8119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN2286235
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: