MS. KRISTEN ANN FORMOSA
NPI 1275985772
Technician, Other in Dearborn, MI

Q: What is Kristen Formosa's NPI number?

The NPI number for Kristen Formosa is 1275985772. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Q: What is Kristen Formosa's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Formosa was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2016

4440 LAPHAM ST, DEARBORN, MI 48126(313) 969-6210 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Kristen Ann Formosa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KRISTEN ANN FORMOSA (NPI 1275985772) is an individual technician, other provider in Dearborn, Michigan, licensed in Michigan (6801095545) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1275985772

Entity TypeIndividualFemale

Primary Taxonomy247200000X

Provider Legal NameMS. KRISTEN ANN FORMOSA

Location Address4440 LAPHAM STDearborn, MI 48126-3473

Mailing Address4440 Lapham StDearborn, MI 48126-3473 · (313) 969-6210

Phone(313) 969-6210

Sole ProprietorNo

Enumeration DateJuly 7, 2016

✔ NPI 1275985772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

License✔ Licensed in MI · 6801095545

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

4440 LAPHAM ST, Dearborn, MI 48126

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Formosa's NPI number?

The NPI number for Kristen Formosa is 1275985772. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Kristen Formosa located?

Kristen Formosa practices at 4440 Lapham St, Dearborn, MI 48126. The listed phone number is (313) 969-6210.

What is Kristen Formosa's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Kristen Formosa was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.