Individual
DENISE P KLEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
123 SUMMER ST, SUITE 150 S, WORCESTER, MA 01608-1216
(508) 368-3110
(508) 368-3113
Mailing address
5 NEPONSET ST FL STREET2, WORCESTER, MA 01606-2714
(508) 368-5532
(508) 368-3113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
137040
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0328791
MEDICAID WELFARE
—
05
—
0328791
—
MA
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
53325
FALLON COMMUNITY HEALTH P
—
01
—
58263
CHILDRENS MEDICAL SECURIT
—
01
—
8301688
EVERCARE
—
01
—
AA3630
HARVARD PILGRIM HEALTHCAR
—
01
—
NP9708
BLUE CARE ELECT
—
Enumeration date
01/30/2006
Last updated
03/26/2019
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