Individual provider · Type 1 NPI
Kelley Basso, CPNP-PC
Pediatric Nurse Practitioner · Boston, MA
NPI number
1861149197
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2293628 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1861149197
Kelley Basso, CPNP-PC's National Provider Identifier is 1861149197, issued on Mar 7, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Nov 10, 2025.