Individual
RENEE MARIE KMETZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN2272306
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2272306
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110175525A
—
MA
05
—
3136303
—
NH
Enumeration date
06/11/2019
Last updated
04/08/2026
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