Individual
KRISTEN A PROPHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 ORIOL DR, WORCESTER, MA 01605-1911
(508) 259-8737
Mailing address
100 HEIGHTS OF HILL ST, WHITINSVILLE, MA 01588-1048
(508) 259-8737
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2264348
MA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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