Kimberly Roy Cohn, NP

Individual provider Active NPI Pediatric Nurse Practitioner · Foxboro, MA

NPI 1194034447 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1194034447
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
RN250638 (MA)
Practice address
Studio at H2T, LLC
17 Cocasset St, Ste 1
Foxboro, MA 02035
Phone
(508) 543-1112
Fax
(508) 543-5012
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN250638MAMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN250638 MA Yes

Addresses

Primary practice location

Studio at H2T, LLC
17 Cocasset St, Ste 1
Foxboro, MA 02035

Mailing address

Studio at H2T, LLC
17 Cocasset St, Ste 1
Foxboro, MA 02035
Phone (508) 543-1112

Other identifiers

IdentifierTypeStateIssuer
9715274MedicaidMA

Other providers in Foxboro, MA

All providers in Foxboro, MA · Pediatric Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.