Individual
BETTY KINZALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
950 WINTER ST STE 3800, WALTHAM, MA 02451-1405
(508) 612-4588
Mailing address
950 WINTER ST STE 3800, WALTHAM, MA 02451-1405
(978) 413-4393
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN284471
MA
Other
Enumeration date
11/13/2020
Last updated
01/15/2022
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