Provider Demographics
NPI:1013637909
Name:SZOLOMAYER, KRISTEN LYNN (MSN, FNP-BC, CNP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LYNN
Last Name:SZOLOMAYER
Suffix:
Gender:F
Credentials:MSN, FNP-BC, CNP
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:LYNN
Other - Last Name:SZOLOMAYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, FNP-BC, CNP
Mailing Address - Street 1:300 LONGWOOD AVE DEPT OF
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-6000
Mailing Address - Fax:
Practice Address - Street 1:300 LONGWOOD AVE DEPT OF
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-31
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2272978163W00000X, 363LF0000X
MA2272978363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse