Kristin K Wickstrom, PA
Physician Assistant in Barre, Massachusetts
1053461632- Practice location
- 151 Worcester RD, Barre Family Health Center, Barre, MA 01005-9002
- Phone
- 978-355-6321
- Fax
- 978-355-6329
- Last updated
- October 24, 2020
Kristin K. Wickstrom is a Physician Assistant based in Barre, MA. Kristin K. Wickstrom practices in Barre, MA and has the professional credentials of PA. The NPI Number for Kristin K. Wickstrom is 1053461632 and holds a License No. PA2210 (MA). The current practice location address for Kristin K. Wickstrom is 151 Worcester RD, Barre Family Health Center, Barre, MA 01005-9002 and can be reached out via phone at 978-355-6321 and via fax at 978-355-6329.
Provider Profile Details
- NPI Number
- 1053461632
- Provider Name
- Kristin K. Wickstrom
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 151 Worcester RD, Barre Family Health Center, Barre, MA 01005-9002
- Phone Number
- 978-355-6321
- Fax Number
- 978-355-6329
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 12, 2007
- Last Update Date
- October 24, 2020
- Certification Date
- October 24, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 151 Worcester RD
Barre Family Health Center
Barre, MA 01005-9002 - City
- Barre
- State
- Massachusetts
- Zip
- 01005-9002
- Phone Number
- 978-355-6321
- Fax Number
- 978-355-6329
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
- Phone Number
- 800-225-8885
- Fax Number
- 508-334-1977
License Information
- License Number
- PA2210
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kristin K Wickstrom, PA?
The NPI number of Kristin K Wickstrom, PA is 1053461632. It was assigned on January 12, 2007 and is currently active in the NPPES registry.
What is the specialty of Kristin K Wickstrom, PA?
Kristin K Wickstrom, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA2210.
Where does Kristin K Wickstrom, PA practice?
The practice location is 151 Worcester RD, Barre Family Health Center, Barre, MA 01005-9002. The office can be reached at 978-355-6321 (phone) or 978-355-6329 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053461632 directly on the NPPES registry website.