Kristen M Derosa, NNP-BC, ACNPC-AG
Nurse Practitioner, Acute Care in Worcester, Massachusetts
1003469230- Practice location
- 416 Belmont St, Worcester, MA 01604-1086
- Phone
- 508-756-6609
- Fax
- —
- Last updated
- February 20, 2025
Kristen M Derosa is a Nurse Practitioner, Acute Care based in Worcester, MA. Kristen M Derosa practices in Worcester, MA and has the professional credentials of NNP-BC, ACNPC-AG. The NPI Number for Kristen M Derosa is 1003469230 and holds a License No. 45177 (KS). The current practice location address for Kristen M Derosa is 416 Belmont St, Worcester, MA 01604-1086 and can be reached out via phone at 508-756-6609.
Provider Profile Details
- NPI Number
- 1003469230
- Provider Name
- Kristen M Derosa
- Credential
- NNP-BC, ACNPC-AG
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 416 Belmont St, Worcester, MA 01604-1086
- Phone Number
- 508-756-6609
- Primary Taxonomy
- Nurse Practitioner, Acute Care · 363LA2100X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 17, 2019
- Last Update Date
- February 20, 2025
- Certification Date
- February 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 416 Belmont St
Worcester, MA 01604-1086 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604-1086
- Phone Number
- 508-756-6609
Provider Business Mailing Address Details
- Address
- 67 Millbrook St Ste 406A
Worcester, MA 01606-2845 - City
- Worcester
- State
- MA
- Zip
- 01606-2845
- Phone Number
- 508-283-4513
License Information
- License Number (1)
- 45177
- License State (1)
- KS
- Taxonomy (1)
- Nurse Practitioner, Neonatal · 363LN0000X
- License Number (2)
- RN2314768
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Acute Care · 363LA2100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kristen M Derosa, NNP-BC, ACNPC-AG?
The NPI number of Kristen M Derosa, NNP-BC, ACNPC-AG is 1003469230. It was assigned on July 17, 2019 and is currently active in the NPPES registry.
What is the specialty of Kristen M Derosa, NNP-BC, ACNPC-AG?
Kristen M Derosa, NNP-BC, ACNPC-AG is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in KS under license number 45177.
Where does Kristen M Derosa, NNP-BC, ACNPC-AG practice?
The practice location is 416 Belmont St, Worcester, MA 01604-1086. The office can be reached at 508-756-6609 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003469230 directly on the NPPES registry website.