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Individual

DR. KIRSTEN ASHLEY FOWLKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC, DNP, MSNRN

Contact information

Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 334-2670
Mailing address
381 CHANDLER ST, WORCESTER, MA 01602-3395

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2284302
MA

Other

Enumeration date
10/10/2025
Last updated
10/24/2025
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