Healthcare Provider Details

I. General information

NPI: 1275493728
Provider Name (Legal Business Name): CRISTINA NORDGREN MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 COMMERCE WAY
WOBURN MA
01801-5199
US

IV. Provider business mailing address

25 MILL RD
DERRY NH
03038-4617
US

V. Phone/Fax

Practice location:
  • Phone: 781-935-5437
  • Fax:
Mailing address:
  • Phone: 978-836-2693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2306073
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: