Individual provider · Type 1 NPI

Kristy Poulliot, FNP-BC

Nurse Practitioner · Sudbury, MA

NPI number 1689183014 Active

Practice location

29 Hudson Rd Ste 3310
Sudbury, MA 01776-1753

Fax (978) 443-8839

Mailing address

171 Main St Ste 203B
Ashland, MA 01721-1187

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XRN2268086 (MA)
Family Nurse Practitioner 363LF0000X7330 (CT)
Nurse Practitioner Primary 363L00000XRN2268086 (MA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689183014

Kristy Poulliot, FNP-BC's National Provider Identifier is 1689183014, issued on Sep 28, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sudbury, MA. The record was last updated on Jul 22, 2024.