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:
Health care specialties
| Specialty | Code | License # | 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 3 years ago |
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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