Individual
KRYSTAL CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CABOT RD STE 201, MEDFORD, MA 02155-5173
(800) 915-3211
Mailing address
10 CABOT RD STE 201, MEDFORD, MA 02155-5173
(800) 915-3211
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN283093
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN283093
MA
Other
Enumeration date
10/08/2025
Last updated
01/27/2026
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