Individual
KRISTYN BETH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 MAPLE ST, HOLYOKE, MA 01040
(413) 420-2200
Mailing address
420 MAPLE ST, HOLYOKE, MA 01040
(413) 420-2200
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2260547
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300237
MASS HEALTH
MA
Enumeration date
09/12/2012
Last updated
09/12/2012
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