Individual provider · Type 1 NPI
Kristie Michelle Grimes-Mallard, RN
Women's Health Nurse Practitioner · Roxbury, MA
NPI number
1730797077
Active
Practice location
45 Dimock St
Roxbury, MA 02119-1208
Fax (617) 541-8334
Mailing address
960 Massachusetts Avenue, Fl 2
Boston, MA 02118-2690
Other practice locations
- 736 Cambridge St, 5th Fl, Maternal Child Health Bldg, Brighton, MA 02135-2907 · (617) 562-7007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | RN2335640 (MA) |
Women's Health Nurse Practitioner: Definition to come...
89 other providers at this address
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Other women's health nurse practitioner providers in Roxbury
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- Kaitlyn N. Sanders, RN, MSNWomen's Health Nurse Practitioner Roxbury, MA NPI 1598426421
- Emma Kavanaugh Blackwell, NPWomen's Health Nurse Practitioner Roxbury, MA NPI 1760261135
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About NPI 1730797077
Kristie Michelle Grimes-Mallard, RN's National Provider Identifier is 1730797077, issued on Jul 22, 2020. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Roxbury, MA. The record was last updated on Sep 29, 2026.