Individual
KAITLYN T CROSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, DEPT OF UROLOGY, WORCESTER, MA 01655-0002
(508) 856-5821
(508) 856-3137
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
281182
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN281182
MA
363LF0000X
Family Nurse Practitioner
RN281182
MA
Other
Enumeration date
11/18/2009
Last updated
03/16/2022
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