Kristie Michelle Grimes-Mallard, RN

NPI #1730797077 in Roxbury, Massachusetts

Provider Information

NPI Number
1730797077
Entity Type
Individual
Name
Kristie Michelle Grimes-Mallard, RN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
RN
Enumeration Date
Jul 22, 2020
Last Updated
Nov 16, 2020

Practice Location

Address
45 DIMOCK ST
ZIP Code
02119-1208
Phone
(617) 442-8800

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Practitioner

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