Individual provider · Type 1 NPI
Kimberly Peterson
Gerontology Nurse Practitioner · Boston, MA
NPI number
1659293728
Active
Practice location
26 Custer St # 2
Boston, MA 02130-3108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN2333213 (MA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1659293728
Kimberly Peterson's National Provider Identifier is 1659293728, issued on Jul 29, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boston, MA. The record was last updated on Aug 28, 2026.