Individual
KRISTA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
155 FEDERAL ST STE 700, BOSTON, MA 02110-1727
(413) 262-1485
Mailing address
22 MARY DR, WEST BOYLSTON, MA 01583-1615
(413) 262-1485
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2268522
MA
Other
Enumeration date
08/06/2012
Last updated
02/11/2021
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