Individual
KRISTAL L IMPERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
165 MILL ST, LEOMINSTER, MA 01453
(978) 466-3212
(978) 534-3581
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(978) 466-3212
(978) 534-3581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
198129
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0390411
WELFARE
—
05
—
0390411
—
MA
01
—
042472266
THREE RIVERS
—
01
—
4142192
MVP HEALTH CARE
—
01
—
61994
FALLON COMMUNITY HEALTH P
—
01
—
AA3666
HARVARD PILGRIM HEALTHCAR
—
01
—
NP3714
BLUE SHIELD HMO BLUE
—
Enumeration date
02/24/2006
Last updated
02/18/2009
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