Provider Demographics
NPI:1861377095
Name:SLOBODA, KRISTEN M (ARNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:M
Last Name:SLOBODA
Suffix:
Gender:F
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 NEW ESTATE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1100
Mailing Address - Country:US
Mailing Address - Phone:978-337-3642
Mailing Address - Fax:
Practice Address - Street 1:142 LITTLETON RD STE 7
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3154
Practice Address - Country:US
Practice Address - Phone:978-488-1430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN256943363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health