Kleister, Denise P

Kleister, Denise P is an individual health care provider with primary practice located at 123 Summer St Suite 150 S, Worcester MA 01608-1216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kleister, Denise P can be contacted via phone (508) 368-3110.

Contact Information

Primary practice address
123 Summer St Suite 150 S Worcester MA 01608-1216
Phone: (508) 368-3110
Fax: (508) 368-3113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 137040 Massachusetts

Profile Details

NPI number 1255302030
LBN Legal business name Kleister, Denise P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255302030 NPPES
Massachusetts MEDICAID 0328791
Massachusetts Other 53325
Massachusetts Other 8301688
Massachusetts Other 0328791
Massachusetts Other NP9708
Massachusetts Other NP9708
Massachusetts Other NP9708
Massachusetts Other NP9708
Massachusetts Other 58263
Massachusetts Other 042472266
Massachusetts Other 042472266
Massachusetts Other 58263
Massachusetts Other AA3630

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