SearchMassachusetts363LP2300X

Kristen Prophet

NPI 1639926793 · on the registry since 2024 · sole proprietor

Practice

Address
25 Oriol Dr
Worcester, MA 01605
Phone
(508) 259-8737
Organisation at this address
Autumn Village Llc
Vero Health Xvi, Llc
Worcester Health Center, Llc
Oc Azure Of Worcester Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 642 Metacom Ave, Warren, RI

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts