Individual
DESIRAE COMER KERNIZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
235 WELLESLEY ST STE 1, WESTON, MA 02493-1571
(860) 416-3208
Mailing address
235 WELLESLEY ST STE 1, WESTON, MA 02493-1571
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2292929
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2292929
MA
Other
Enumeration date
11/11/2024
Last updated
03/12/2025
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