IndividualActive
Kristen Desandis, AG-ACNP, BC
NPI 1093469793 · Critical Care Medicine Nurse Practitioner · Boston, MA
Provider details
- NPI number
- 1093469793
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-ACNP, BC
- Sex
- Female
- Sole proprietor
- No
- License
- 549912241844 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
55 Fruit Street
Attn: Central Credentialing Office
Boston, MA 02114
Phone: (617) 726-2212
Approximate (ZIP-level) locationGet directions
Mailing address
11 Revere St Apt 3
Boston, MA 02114-3812
Registry dates
- Enumerated
- 2022-02-10
- Last updated
- 2022-02-10
- Certified
- 2022-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.