Kristen E Medeiros
Nurse Practitioner in Fairhaven, Massachusetts
1255931150- Practice location
- 208 Mill RD, Fairhaven, MA 02719-5208
- Phone
- 508-973-2661
- Fax
- 508-973-0314
- Last updated
- September 8, 2024
Kristen Erin Medeiros is a Nurse Practitioner based in Fairhaven, MA. Kristen Erin Medeiros practices in Fairhaven, MA. The NPI Number for Kristen Erin Medeiros is 1255931150 and holds a License No. APRN02497 (RI). The current practice location address for Kristen Erin Medeiros is 208 Mill RD, Fairhaven, MA 02719-5208 and can be reached out via phone at 508-973-2661 and via fax at 508-973-0314.
Provider Profile Details
- NPI Number
- 1255931150
- Provider Name
- Kristen Erin Medeiros
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 208 Mill RD, Fairhaven, MA 02719-5208
- Phone Number
- 508-973-2661
- Fax Number
- 508-973-0314
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 29, 2020
- Last Update Date
- September 8, 2024
- Certification Date
- September 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 208 Mill RD
Fairhaven, MA 02719-5208 - City
- Fairhaven
- State
- Massachusetts
- Zip
- 02719-5208
- Phone Number
- 508-973-2661
- Fax Number
- 508-973-0314
Provider Business Mailing Address Details
- Address
- 200 Mill RD
Fairhaven, MA 02719-5252 - City
- Fairhaven
- State
- MA
- Zip
- 02719-5252
- Phone Number
- 508-973-2000
- Fax Number
- 508-973-2001
License Information
- License Number (1)
- APRN02497
- License State (1)
- RI
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- RN2294001
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · 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 Kristen E Medeiros?
The NPI number of Kristen E Medeiros is 1255931150. It was assigned on October 29, 2020 and is currently active in the NPPES registry.
What is the specialty of Kristen E Medeiros?
Kristen E Medeiros is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in RI under license number APRN02497.
Where does Kristen E Medeiros practice?
The practice location is 208 Mill RD, Fairhaven, MA 02719-5208. The office can be reached at 508-973-2661 (phone) or 508-973-0314 (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 1255931150 directly on the NPPES registry website.