Healthcare Provider Details

I. General information

NPI: 1811365307
Provider Name (Legal Business Name): KRISTA LEE RADFORD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2015
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date: 12/01/2025
Reactivation Date: 12/09/2025

III. Provider practice location address

505 W HOLLIS ST STE 208
NASHUA NH
03062-1387
US

IV. Provider business mailing address

505 W HOLLIS ST STE 208
NASHUA NH
03062-1387
US

V. Phone/Fax

Practice location:
  • Phone: 603-537-1300
  • Fax:
Mailing address:
  • Phone: 603-889-2843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number078157-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN284753
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: