Healthcare Provider Details

I. General information

NPI: 1881508745
Provider Name (Legal Business Name): KRISTINA H HOLLOWAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GENERAL ST
LAWRENCE MA
01841-2961
US

IV. Provider business mailing address

56 JETWOOD ST
NORTH ANDOVER MA
01845-4153
US

V. Phone/Fax

Practice location:
  • Phone: 978-683-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN2386206
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: