Individual provider · Type 1 NPI

Kimberly R. Henriques, APRN-AGACNP

Nurse Practitioner · Beverly, MA

NPI number 1770964728 Active

Practice location

85 Herrick Street
Beverly, MA 01915

Other practice locations

  • 55 Fruit St, Boston, MA 02114-2696 · (617) 726-2000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2292104 (MA)
Gerontology Nurse Practitioner 363LG0600XCNP151201 (ME)
Registered Nurse 163W00000XRN64322 (ME)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1770964728

Kimberly R. Henriques, APRN-AGACNP's National Provider Identifier is 1770964728, issued on Jun 16, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beverly, MA. The record was last updated on Dec 17, 2025.