Whalio Doctors

NPI 1003469230

Kristen M Derosa, NNPBCACNPCAG

Practitioner Acute Care Nurse Practitioner Worcester, MA

Practice location

Address
416 Belmont St, Worcester, MA 01604-1086
Phone
(508) 756-6609
Mailing address
67 Millbrook St STE 406a, Worcester, MA 01606-2845

Registered specialties (2)

Acute Care Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2100X Licence RN2314768 (MA)
Neonatal Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LN0000X Licence 45177 (KS)

Registry record

NPI
1003469230
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jul 2019
Record last updated
20 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.