Individual
KIMBERLY A BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
801 MASSACHUSETTS AVE, SUITE 6C, BOSTON, MA 02118
(617) 414-5951
(617) 414-9201
Mailing address
960 MASSACHUSETTS AVE, BOSTON, MA 02118-2620
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN2311024
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2311024
MA
Other
Enumeration date
01/25/2021
Last updated
03/17/2023
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