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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY REARDON BANIGAN, CPNP

Active

KIMBERLY REARDON BANIGAN, CPNP is a Pediatric Nurse Practitioner healthcare provider located in BOSTON, Massachusetts. NPI 1306240429 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · BOSTON, MA

Registration Details

NPI Number
1306240429
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2014 (11.782296996926 yrs)
Last Updated
Aug 28, 2017
Licenses
209011064 (IL)
RN2316271 (MA)

Practice Information

Address
300 LONGWOOD AVE
BOSTON, MA, 021155724
Browse MA providers · Browse ZIP 02115
Phone
6173556162
Fax
6177300621
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in BOSTON, MA

Name Credential NPI
MS. REBECCA L SHERLOCK PNP 1124018015
MS. KIMBERLI A OMALLEY PNP 1245221464
MEGHAN SULLIVAN MIDDLETON PNP, CNS 1265414916
MS. ROSEMARY K DOBLE CPNP 1083686760
RUTA KOTRYNA AUGIUS N.P. 1639142573
WENDY S BUGOS NP 1407829351
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.