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Individual

KRISTEN ANN WYNOTT LIPRESTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
211 ALEWIFE BROOK PKWY, CAMBRIDGE, MA 02138-1101
(866) 389-2727
(401) 652-9787
Mailing address
21 CROSS ST, BELMONT, MA 02478-4814
(617) 416-1867

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024171463
VA
363LF0000X
Family Nurse Practitioner
Primary
RN2295445
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41-1939629
TAX ID
Enumeration date
03/19/2014
Last updated
08/19/2014
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