Provider Demographics
NPI:1366566879
Name:FLANAGAN, KRISTINA GILARDI (NP-C)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:GILARDI
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 PLEASANT HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1368
Mailing Address - Country:US
Mailing Address - Phone:978-390-3436
Mailing Address - Fax:
Practice Address - Street 1:320 WASHINGTON STREET
Practice Address - Street 2:STONEHILL COLLEGE HEALTH SERVICES
Practice Address - City:EASTON
Practice Address - State:MA
Practice Address - Zip Code:02357
Practice Address - Country:US
Practice Address - Phone:508-565-1307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229066363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily