Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTIE MICHELLE GRIMES-MALLARD, RN
Active Sole ProprietorKRISTIE MICHELLE GRIMES-MALLARD, RN is a Nurse Practitioner healthcare provider located in ROXBURY, Massachusetts. NPI 1730797077 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ROXBURY, MA
Registration Details
- NPI Number
- 1730797077
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2020 (6.0270514528348 yrs)
- Last Updated
- Nov 16, 2020
- Licenses
-
RN2335640 (MA)RN2335640 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
45 DIMOCK STROXBURY, MA, 021191208Browse MA providers · Browse ZIP 02119
- Phone
- 6174428800
- Fax
- 6175418334
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in ROXBURY, MA
| Name | Credential | NPI |
|---|---|---|
| MS. ANDREA ROSE BIONDI | DNP | 1891872859 |
| RACHEL M PREISS | RN, NP | 1134379753 |
| LINDSAY MICHELLE HEALY | AGNP-C | 1992325153 |
| NAZAIRE B. NZIKOBA | CNP | 1750968962 |
| EMILY RESTREPO | MSN, NP | 1497443733 |
| JENNIFER HERRERA CORDONES | — | 1215617311 |
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.