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Individual

FARAH DESROSIERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4756

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN2293231
MA
363LG0600X
Gerontology Nurse Practitioner
RN2293231
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
12795
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2293231
MA

Other

Enumeration date
06/03/2016
Last updated
08/26/2025
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