Individual
KRISTEN LOVERSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5589
(718) 579-5000
Mailing address
1746 1ST AVE APT 3N, NEW YORK, NY 10128-5295
(631) 813-9097
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383418
NY
Other
Enumeration date
09/08/2022
Last updated
03/14/2025
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