Provider Demographics
NPI:1992933816
Name:HARRISON, KATHARINE VANNOSTRAND
Entity type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:VANNOSTRAND
Last Name:HARRISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 WELLESLEY ST
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-2510
Mailing Address - Country:US
Mailing Address - Phone:617-347-4994
Mailing Address - Fax:
Practice Address - Street 1:80 WELLESLEY ST
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-2510
Practice Address - Country:US
Practice Address - Phone:617-347-4994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist