Provider Demographics
NPI:1922373885
Name:KINUTHIA, ESTHER (RN, BA, BSN, CDCES)
Entity type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:KINUTHIA
Suffix:
Gender:F
Credentials:RN, BA, BSN, CDCES
Other - Prefix:MS
Other - First Name:ESTHER
Other - Middle Name:
Other - Last Name:KINUTHIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, BA, BSN, CDCES
Mailing Address - Street 1:166 BOSTON TPKE # 4436
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-2501
Mailing Address - Country:US
Mailing Address - Phone:617-356-1356
Mailing Address - Fax:
Practice Address - Street 1:6 LIBERTY SQ # 3049
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-5800
Practice Address - Country:US
Practice Address - Phone:617-356-1356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2021-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
MA2258471163WD0400X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse