Individual provider · Type 1 NPI

Kimberly A. Bautista, RN

Family Nurse Practitioner · Boston, MA

NPI number 1598355307 Active

Practice location

801 Massachusetts Ave, Suite 6C
Boston, MA 02118

Fax (617) 414-9201

Mailing address

960 Massachusetts Ave
Boston, MA 02118-2620

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse 163WC0400XRN2311024 (MA)
Family Nurse Practitioner Primary 363LF0000XRN2311024 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1598355307

Kimberly A. Bautista, RN's National Provider Identifier is 1598355307, issued on Jan 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Mar 17, 2023.