Individual
KRISTIN L MANNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
349 BROADWAY, SOMERVILLE, MA 02145-2407
(617) 702-8280
(617) 245-6755
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(978) 371-7010
(978) 371-0522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201393178NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
RN262875
MA
Other
Enumeration date
10/21/2013
Last updated
04/24/2026
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