Active NPIIndividual provider

Mrs. Kristy Poulliot, FNP-BC

Nurse Practitioner in Sudbury, Massachusetts

NPI Number1689183014
Practice location
29 Hudson RD Ste 3310, Sudbury, MA 01776-1753
Fax
978-443-8839
Last updated
July 22, 2024

Kristy Poulliot is a Nurse Practitioner based in Sudbury, MA. Kristy Poulliot practices in Sudbury, MA and has the professional credentials of FNP-BC. The NPI Number for Kristy Poulliot is 1689183014 and holds a License No. RN2268086 (MA). The current practice location address for Kristy Poulliot is 29 Hudson RD Ste 3310, Sudbury, MA 01776-1753 and can be reached out via phone at 978-443-8810 and via fax at 978-443-8839.

Provider Profile Details

NPI Number
1689183014
Provider Name
Kristy Poulliot
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
29 Hudson RD Ste 3310, Sudbury, MA 01776-1753
Phone Number
978-443-8810
Fax Number
978-443-8839
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Other Names
Miss Kristy Pooler (Former Name)
Provider Enumeration Date
September 28, 2017
Last Update Date
July 22, 2024
Certification Date
July 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Hudson RD Ste 3310
Sudbury, MA 01776-1753
Zip
01776-1753
Phone Number
978-443-8810
Fax Number
978-443-8839
Sudbury, MA 01776Get directions →

Provider Business Mailing Address Details

Address
171 Main St Ste 203B
Ashland, MA 01721-1187
City
Ashland
State
MA
Zip
01721-1187
Phone Number
508-881-3029
Fax Number
508-881-1752

License Information

License Number (1)
RN2268086
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
7330
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
RN2268086
License State (3)
MA
Taxonomy (3)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mrs. Kristy Poulliot, FNP-BC?

The NPI number of Mrs. Kristy Poulliot, FNP-BC is 1689183014. It was assigned on September 28, 2017 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kristy Poulliot, FNP-BC?

Mrs. Kristy Poulliot, FNP-BC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2268086.

Where does Mrs. Kristy Poulliot, FNP-BC practice?

The practice location is 29 Hudson RD Ste 3310, Sudbury, MA 01776-1753. The office can be reached at 978-443-8810 (phone) or 978-443-8839 (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 1689183014 directly on the NPPES registry website.

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