Individual
MS. JENNIFER KREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRICS, WORCESTER, MA 01655-0002
(508) 334-2131
(508) 334-7399
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
Primary
RN261313
MA
363LP0200X
Pediatric Nurse Practitioner
RN261313
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0722774
—
MA
Enumeration date
05/12/2007
Last updated
03/05/2014
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