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Individual

KRISTEN DEVITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2961
(978) 683-4000
Mailing address
1 GENERAL ST, LAWRENCE, MA 01841-2961
(978) 683-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2260698
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN2260698
LICENSE
MA
Enumeration date
11/16/2016
Last updated
04/29/2017
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