Healthcare Provider Details

I. General information

NPI: 1437984325
Provider Name (Legal Business Name): FLORENCE NABISUBI KIMERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 ROESSLER RD
WOBURN MA
01801-6208
US

IV. Provider business mailing address

10 ROESSLER RD
WOBURN MA
01801-6208
US

V. Phone/Fax

Practice location:
  • Phone: 781-932-8114
  • Fax: 781-305-4907
Mailing address:
  • Phone: 781-932-8114
  • Fax: 781-305-4907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: