MEDICARE: KATHLEEN P BRIGGS NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN2302842	MA

General Provider Information

NPI Number	:	1871110767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN P BRIGGS NP

Provider Business Mailing Address
First Line	:	38 ROCK ST STE 2
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720-3130
Country	:	US
Telephone Number	:	508-672-1064
Fax Number	:	508-281-4013

Provider Business Practice Location Address
First Line	:	38 ROCK ST STE 2
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720-3130
Country	:	US
Telephone Number	:	508-672-1064
Fax Number	:	508-281-4013

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

Provider Enumeration Date	:	06/26/2020
Last Update Date	:	05/24/2023

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