Provider Demographics
NPI:1033960182
Name:BIANCO, KIMBERLY (RNFA)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:BIANCO
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PADDOCK LN APT 1302
Mailing Address - Street 2:
Mailing Address - City:BOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:01719-1762
Mailing Address - Country:US
Mailing Address - Phone:617-650-2399
Mailing Address - Fax:
Practice Address - Street 1:85 HERRICK ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1790
Practice Address - Country:US
Practice Address - Phone:978-922-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2277939163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant