Individual provider · Type 1 NPI

Kristen M. Derosa, NNP-BC, ACNPC-AG

Acute Care Nurse Practitioner · Worcester, MA

NPI number 1003469230 Active

Practice location

416 Belmont St
Worcester, MA 01604-1086

Mailing address

67 Millbrook St Ste 406A
Worcester, MA 01606-2845

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner 363LN0000X45177 (KS)
Acute Care Nurse Practitioner Primary 363LA2100XRN2314768 (MA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1003469230

Kristen M. Derosa, NNP-BC, ACNPC-AG's National Provider Identifier is 1003469230, issued on Jul 17, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Worcester, MA. The record was last updated on Feb 20, 2025.