Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 023679-23 | NH |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 227628 | MA |
NPI | 1376704130 |
---|---|
Provider Name | Mrs. Kristen Earley Lindamood |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 03/01/2017 |