MEDICARE: KATHERINE NGUYEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN2305083	MA
2	363LF0000X	Family Nurse Practitioner	RN2305083	MA

General Provider Information

NPI Number	:	1306546718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE NGUYEN

Provider Business Mailing Address
First Line	:	800 WASHINGTON ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1552
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 WASHINGTON ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1552
Country	:	US
Telephone Number	:	617-636-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	03/02/2026

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Directions to “ KATHERINE NGUYEN ” Practice Location

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