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Kristen M Derosa, NNP-BC,ACNPC-AG
Neonatal Nurse Practitioner in Worcester, Massachusetts
NPI 1003469230

Kristen M Derosa is a Neonatal Nurse Practitioner based in Holden, MA and is specialized in Neonatal. 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 (Massachusetts).

The current practice location address for Kristen M Derosa is 416 Belmont St, Worcester, MA and can be reached out via phone at 508-756-6609.

Location: 416 Belmont St, Worcester, MA, 01520-2622
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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, 01520-2622
Phone Number
508-756-6609
Fax Number
Provider Enumeration Date
07/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104252227 01 NCC CERTIFICATION ID
104252227 01 NATIONAL CERTIFICATION CORPORATION: CERTIFICATION ID
institution
Provider Business Practice Location Address Details
Address
416 Belmont St
City
State
Zip
01604-1086
Phone Number
508-756-6609
Fax Number
person
Provider Business Mailing Address Details
Address
416 Belmont St
City
State
Zip
01604-1086
Phone Number
508-756-6609
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
45177 (Kansas)
Definition
Definition to come...
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