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Individual

KRISTEN DIMAURO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
732 HARRISON AVE, FL 2, PRESTON BLDG, BOSTON, MA 02118-2309
(617) 638-7470
(617) 638-7449
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2321770
MA
363LF0000X
Family Nurse Practitioner
Primary
2321770
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110157371A
MA
Enumeration date
05/29/2018
Last updated
09/26/2024
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