Individual
MRS. KIRSTEN WERNER RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8578
(617) 734-1034
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2372252
MA
Other
Enumeration date
07/01/2022
Last updated
03/03/2024
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