Healthcare Provider Details

I. General information

NPI: 1851575583
Provider Name (Legal Business Name): KRISTEN SKOBE-RIBEIRO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2007
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CONIFER HILL DR STE 310
DANVERS MA
01923-1169
US

IV. Provider business mailing address

100 CONIFER HILL DR STE 310
DANVERS MA
01923-1169
US

V. Phone/Fax

Practice location:
  • Phone: 978-951-7304
  • Fax: 978-506-2410
Mailing address:
  • Phone: 978-951-7304
  • Fax: 978-506-2410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN208843
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number205843
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: