Individual
LYNDA CRIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
34 N PEARL ST, BROCKTON, MA 02301-1708
(508) 408-9200
(857) 408-9200
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN255811
MA
363LP2300X
Primary Care Nurse Practitioner
RN255811
MA
Other
Enumeration date
12/07/2018
Last updated
09/22/2022
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