Active NPIIndividual provider

Lisa J Kendricken, RN

Registered Nurse, Medical-Surgical in Boston, Massachusetts

NPI Number1760216683
Practice location
55 Fruit St, Boston, MA 02114-2621
Fax
—
Last updated
September 2, 2024

Lisa J Kendricken is a Registered Nurse, Medical-Surgical based in Boston, MA. Lisa J Kendricken practices in Boston, MA and has the professional credentials of RN. The NPI Number for Lisa J Kendricken is 1760216683 and holds a License No. RN2295379 (MA). The current practice location address for Lisa J Kendricken is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 617-724-6010.

Provider Profile Details

NPI Number
1760216683
Provider Name
Lisa J Kendricken
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
55 Fruit St, Boston, MA 02114-2621
Phone Number
617-724-6010
Primary Taxonomy
Registered Nurse, Medical-Surgical · 163WM0705X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2024
Last Update Date
September 2, 2024
Certification Date
September 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
617-724-6010
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
70 Exchange St Apt 201
Lynn, MA 01901-1446
City
Lynn
State
MA
Zip
01901-1446
Phone Number
617-957-6569

License Information

License Number
RN2295379
License State
MA
Taxonomy
Registered Nurse, Medical-Surgical · 163WM0705X · 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 Lisa J Kendricken, RN?

The NPI number of Lisa J Kendricken, RN is 1760216683. It was assigned on September 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Lisa J Kendricken, RN?

Lisa J Kendricken, RN is registered under the primary taxonomy Registered Nurse, Medical-Surgical (code 163WM0705X), licensed in MA under license number RN2295379.

Where does Lisa J Kendricken, RN practice?

The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 617-724-6010 (phone).

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 1760216683 directly on the NPPES registry website.

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