Mrs. Nancy Marie Derosa
Nurse Practitioner Nurse Practitioner - Acute Care
55 Fruit St Jackson 121
Boston
, Massachusetts 02114-2621
Mrs. Nancy Marie Derosa
Nurse Practitioner Nurse Practitioner - Acute Care
55 Fruit St Jackson 121
Boston
, Massachusetts 02114-2621
(617) 782-5814
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mrs. Nancy Marie Derosa
- 47 Waverly St
- Brighton, MA
- Zip : 02135-1213
- Phone : (617) 782-5814
Second Address
- Mrs. Nancy Marie Derosa
- 55 Fruit St Jackson 121
- Boston, MA
- Zip : 02114-2621
- Phone : (617) 724-1851
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 191864 | MA |
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 191864 | MA |
National Provider Identifier
| NPI | 1043438013 |
|---|---|
| Provider Name | Mrs. Nancy Marie Derosa |
| First Address | Brighton, MA 02135-1213 |
| Second Address | Boston, MA 02114-2621 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2007 |
| Last Update Date | 07/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.