Provider Demographics
NPI:1275314833
Name:CABOT, KRISTIN D (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:D
Last Name:CABOT
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 MERRIAM AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3175
Mailing Address - Country:US
Mailing Address - Phone:978-534-3399
Mailing Address - Fax:978-537-4929
Practice Address - Street 1:114 MERRIAM AVE STE 101
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3175
Practice Address - Country:US
Practice Address - Phone:978-534-3399
Practice Address - Fax:978-537-4929
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN260756390200000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program