Kidmalem T Adamu, RN
Individual provider Active NPI Ambulatory Care Registered Nurse · Cambridge, MA
NPI 1114736261 · NPPES record last updated Jan 3, 2025
Key facts
- NPI
- 1114736261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- RN2259613 (MA)
- Practice address
- 163 Gore St
Cambridge, MA 02141-1119 - Phone
- (617) 575-5850
- NPI assigned
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2259613 | MA | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN2259613 | MA | Yes |
Addresses
Primary practice location
163 Gore St
Cambridge, MA 02141-1119
Mailing address
2 School St
Malden, MA 02148-6514
Phone (617) 955-3111
Other providers in Cambridge, MA
- Gloria Acosta
- Christine Adams
- David C. Adams
- Gretchen Kurdziel Adams
- Thomas Adams
- Emily R Adamy
- Augustina Adebo-Young
- Robert Adelberg
- Burt Alan Adelman
- Solomon J Adelsky
All providers in Cambridge, MA · Ambulatory Care Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.