Healthcare Provider Details

I. General information

NPI: 1386573277
Provider Name (Legal Business Name): KRISTA DILORENZO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 N MAIN ST
ANDOVER MA
01810-2611
US

IV. Provider business mailing address

15 ARTISAN DR UNIT 602
SALEM NH
03079-5006
US

V. Phone/Fax

Practice location:
  • Phone: 978-409-2230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2337970
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: