Individual
MRS. KRISTINE BECKVAR VANLENTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, APRN, BC
Contact information
Practice address
950 WINTER ST, SUITE 3800, WALTHAM, MA 02451-1424
(781) 492-8792
Mailing address
150 OLD OAKEN BUCKET RD, SCITUATE, MA 02066-4435
(781) 545-5987
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
135094
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135094
STATE LICENSE NUMBER
MA
01
—
MV0019946I
STATE CONTROLLED SUB. REG
MA
Enumeration date
01/16/2007
Last updated
03/07/2023
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