Provider Demographics
NPI:1487807988
Name:ATKINSON, CAROLE C (RN, PNP-BC)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:C
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:RN, PNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:MAIN 9NW 950.2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-0542
Mailing Address - Fax:617-730-0899
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:MAIN 9NW 950.2
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-0542
Practice Address - Fax:617-730-0899
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA127629363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics