Elliott, Krista Nicole

Elliott, Krista Nicole is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Elliott, Krista Nicole can be contacted via phone (508) 856-5599.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 856-5599
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 233010 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN233010 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN233010 Massachusetts

Profile Details

NPI number 1972653426
LBN Legal business name Elliott, Krista Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Nov 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972653426 NPPES
Massachusetts MEDICAID 110091727A

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