Individual
MRS. KIMBERLY R HENRIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-AGACNP
Contact information
Practice address
85 HERRICK STREET, BEVERLY, MA 01915
(978) 922-3000
Mailing address
85 HERRICK STREET, BEVERLY, MA 01915
(978) 922-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN64322
ME
363L00000X
Nurse Practitioner
Primary
RN2292104
MA
363LG0600X
Gerontology Nurse Practitioner
CNP151201
ME
Other
Enumeration date
06/16/2015
Last updated
12/17/2025
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