Individual provider · Type 1 NPI
Michelle Maria Souris Kraemer, PNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1295048866
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Other practice locations
- 55 Fruit St, Boston, MA 02114-2621 · (617) 643-4247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 2258656 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2258656 (MA) |
| Pediatric Nurse Practitioner | 363LP0200X | 2258656 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1295048866
Michelle Maria Souris Kraemer, PNP's National Provider Identifier is 1295048866, issued on Jul 23, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Oct 13, 2025.