KRISTIAN BAKKEN

BOSTON, MA
NPI1285031278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MA  Rn262718)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MA  RN262718)
363LG0600X Nurse Practitioner, Gerontology
(Licence: MA  RN262718)
Enumeration Date2014-11-19
Last Update Date2014-11-19
Business Address
-- KRISTIAN BAKKEN NP
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-8854
Mailing Address
-- KRISTIAN BAKKEN NP
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-8854