Healthcare Provider Details

I. General information

NPI: 1902958218
Provider Name (Legal Business Name): JULIE MARIE CAHILL-HOLLINGSWORTH NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT STREET ELLISON BUILDING 11TH FLOOR
BOSTON MA
02114
US

IV. Provider business mailing address

535 BOYLSTON ST
BOSTON MA
02116-3720
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-5110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number214356
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: