Provider Demographics
NPI:1871110767
Name:BRIGGS, KATHLEEN P (NP)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:P
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 ROCK ST STE 2
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-3130
Mailing Address - Country:US
Mailing Address - Phone:508-672-1064
Mailing Address - Fax:508-281-4013
Practice Address - Street 1:38 ROCK ST STE 2
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3130
Practice Address - Country:US
Practice Address - Phone:508-672-1064
Practice Address - Fax:508-281-4013
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2302842363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health