KRISTIE GRIMES-MALLARD, RN
Nurse Practitioner
Active
Individual
NPI: 1730797077
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | RN2335640 (MA) |
| Nurse Practitioner | 363L00000X | Yes | RN2335640 (MA) |
Frequently Asked Questions
NPI 1730797077 is the National Provider Identifier for KRISTIE GRIMES-MALLARD, RN, a Nurse Practitioner provider located in Roxbury, MA. This NPI was enumerated on July 22, 2020.
KRISTIE GRIMES-MALLARD, RN practices at 45 DIMOCK ST, Roxbury, MA 02119.
Quick Facts
- NPI
- 1730797077
- Type
- Individual
- Enumerated
- Jul 22, 2020
- Last Updated
- Nov 16, 2020
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