MEDICARE: KALILA ZUNES-WOLFE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN10008136	MA

General Provider Information

NPI Number	:	1912856170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALILA ZUNES-WOLFE RN

Provider Business Mailing Address
First Line	:	640 CENTRE ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-2555
Country	:	US
Telephone Number	:	617-983-4103
Fax Number	:	617-971-9521

Provider Business Practice Location Address
First Line	:	640 CENTRE ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-2555
Country	:	US
Telephone Number	:	617-983-4103
Fax Number	:	617-971-9521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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