Provider Demographics
NPI:1871220897
Name:TAYLOR, KIMBERLEY CYNTHIA (FNP-C)
Entity type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:CYNTHIA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 TURNER RD
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-2734
Mailing Address - Country:US
Mailing Address - Phone:401-663-5072
Mailing Address - Fax:
Practice Address - Street 1:32 TURNER RD
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-2734
Practice Address - Country:US
Practice Address - Phone:401-663-5072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN259704363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily