Doctor Name: | KRISTEN FERREIRA |
NPI Number: | 1013975424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 234490 |
Business Practice Address: | 8 Common St Ste 2 Waltham, MA - 024514421 |
Business Phone Number: | 7816473040 |
Business Fax Number: | 7816473044 |
Mailing Address: | 8 Common St, Ste 2 WALTHAM |
State: | MA |
Postal Code: | 024514421 |
Phone Number: | 7816473040 |
Fax Number: | 7816473044 |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 04/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 234490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |