Kristen M Derosa
Nurse Practitioner - Neonatal
416 Belmont St
Worcester
, Massachusetts 01604-1086
Kristen M Derosa
Nurse Practitioner - Neonatal
416 Belmont St
Worcester
, Massachusetts 01604-1086
(202) 491-1043
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Kristen M Derosa
- 10 Damon Rd
- Holden, MA
- Zip : 01520-2622
- Phone : (202) 491-1043
Second Address
- Kristen M Derosa
- 416 Belmont St
- Worcester, MA
- Zip : 01604-1086
- Phone : (508) 756-6609
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FAQs
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What type of doctor is Kristen M Derosa
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Where is Kristen M Derosa ’s practice located?
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Is Kristen M Derosa a sole practitioner?
Is Kristen M Derosa accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 45177 | KS |
National Provider Identifier
| NPI | 1003469230 |
|---|---|
| Provider Name | Kristen M Derosa |
| First Address | Holden, MA 01520-2622 |
| Second Address | Worcester, MA 01604-1086 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2019 |
| Last Update Date | 17/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 104252227 | NATIONAL CERTIFICATION CORPORATION: CERTIFICATION ID (01) | |
| 104252227 | NCC CERTIFICATION ID (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.