Healthcare Provider Details

I. General information

NPI: 1073801445
Provider Name (Legal Business Name): KRISTEN L. BAKER RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 11/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HOWARD ST
FRAMINGHAM MA
01702-8313
US

IV. Provider business mailing address

PO BOX 415348
BOSTON MA
02241-5348
US

V. Phone/Fax

Practice location:
  • Phone: 508-879-2250
  • Fax: 508-620-2637
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN275705
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: