Derosa, Kristen M

Derosa, Kristen M is an sole proprietor health care provider with primary practice located at 416 Belmont St , Worcester MA 01604-1086. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Derosa, Kristen M can be contacted via phone (508) 756-6609.

Contact Information

Primary practice address
416 Belmont St Worcester MA 01604-1086
Phone: (508) 756-6609
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 45177 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN2314768 Massachusetts

Profile Details

NPI number 1003469230
LBN Legal business name Derosa, Kristen M
Credentials NNP-BC, ACNPC-AG
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2019
Last updated Feb 20th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003469230 NPPES
Other 104252227 NATIONAL CERTIFICATION CORPORATION: CERTIFICATION ID
Other 104252227 NATIONAL CERTIFICATION CORPORATION: CERTIFICATION ID

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