Provider Demographics
NPI:1609126689
Name:ARCARA, KIMBERLEY DANA (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLEY
Middle Name:DANA
Last Name:ARCARA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LYMAN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1487
Mailing Address - Country:US
Mailing Address - Phone:617-431-6140
Mailing Address - Fax:207-203-9586
Practice Address - Street 1:8 LYMAN ST STE 200
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1487
Practice Address - Country:US
Practice Address - Phone:617-431-6140
Practice Address - Fax:207-203-9586
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN250906363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health