Healthcare Provider Details

I. General information

NPI: 1922373885
Provider Name (Legal Business Name): ESTHER KINUTHIA RN, BA, BSN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ESTHER KINUTHIA RN, BA, BSN, CDCES

II. Dates (important events)

Enumeration Date: 03/12/2012
Last Update Date: 05/15/2021
Certification Date: 05/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 LIBERTY SQ # 3049
BOSTON MA
02109-5800
US

IV. Provider business mailing address

166 BOSTON TPKE # 4436
SHREWSBURY MA
01545-2501
US

V. Phone/Fax

Practice location:
  • Phone: 617-356-1356
  • Fax:
Mailing address:
  • Phone: 617-356-1356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number2258471
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: