Individual
KRISTA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
290 LITTLETON RD UNIT 3, CHELMSFORD, MA 01824-3429
(978) 685-2460
(978) 685-2472
Mailing address
290 LITTLETON RD UNIT 3, CHELMSFORD, MA 01824-3429
(978) 685-2460
(978) 685-2472
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2267266
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2267266
STATE LICENSE - MA
MA
Enumeration date
03/21/2019
Last updated
05/28/2025
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