Individual
KRISTA M RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-7273
(774) 442-4672
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
Primary
RN2312876
MA
Other
Enumeration date
09/03/2019
Last updated
12/04/2025
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