Provider Demographics
NPI:1518447549
Name:DENARO, KRISTEN (NP-C)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:DENARO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SANDERS RD
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-2008
Mailing Address - Country:US
Mailing Address - Phone:201-841-7671
Mailing Address - Fax:
Practice Address - Street 1:276 E MAIN ST STE 10
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2641
Practice Address - Country:US
Practice Address - Phone:862-217-5002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00847700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily