Individual
KRISTIN ANNA MIKKELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
201 HIGHLAND ST, CLINTON, MA 01510-1037
(978) 368-3000
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2329461
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2329461
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110150711A
—
MA
Enumeration date
07/31/2012
Last updated
04/28/2023
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