Bautista, Kimberly A

Bautista, Kimberly A is an sole proprietor health care provider with primary practice located at 801 Massachusetts Ave, Suite 6C , Boston MA 02118. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bautista, Kimberly A can be contacted via phone (617) 414-5951.

Contact Information

Primary practice address
801 Massachusetts Ave, Suite 6C Boston MA 02118
Phone: (617) 414-5951
Fax: (617) 414-9201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X RN2311024 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2311024 Massachusetts

Profile Details

NPI number 1598355307
LBN Legal business name Bautista, Kimberly A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2021
Last updated Mar 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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