Individual
KIRSTEN DIDRIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 FISHER RD STE 2, BERLIN, VT 05602-9516
(802) 225-3980
Mailing address
336 UNION AVE, FRAMINGHAM, MA 01702-6355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0134600
VT
363LF0000X
Family Nurse Practitioner
RN2322196
MA
Other
Enumeration date
09/17/2019
Last updated
10/02/2020
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