Individual provider · Type 1 NPI
Kim M. Tremblay, N.P.
Primary Care Nurse Practitioner · Boston, MA
NPI number
1265429229
Active
Practice location
30 Northampton St
Boston, MA 02118-4098
Fax (617) 445-6538
Mailing address
354 Merrimack St
Lawrence, MA 01843-1754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 147292 (MA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 147292 (MA) |
| Registered Nurse | 163W00000X | 036506-21 (NH) |
| Nurse Practitioner | 363L00000X | 147292 (MA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1265429229
Kim M. Tremblay, N.P.'s National Provider Identifier is 1265429229, issued on Oct 4, 2005. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Boston, MA. The record was last updated on Jan 24, 2020.