Individual
KRISTINE MORIN CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
425 HARVARD ST, DORCHESTER, MA 02124-2737
(617) 740-0207
Mailing address
425 HARVARD ST, DORCHESTER, MA 02124-2737
(617) 740-0207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2281190
MA
Other
Enumeration date
11/04/2013
Last updated
07/14/2014
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