MEDICARE: KRISTIN L HOLTE NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WX0601X	Otorhinolaryngology & Head-Neck Registered Nurse	261846	MA
2	363LF0000X	Family Nurse Practitioner	261846	MA

General Provider Information

NPI Number	:	1639180037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN L HOLTE NP

Provider Business Mailing Address
First Line	:	100 HIGHLAND ST STE 103
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-3801
Country	:	US
Telephone Number	:	617-696-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 HIGHLAND ST STE 103
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-3801
Country	:	US
Telephone Number	:	617-696-9600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	12/30/2024

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