Individual provider · Type 1 NPI
Nancy Marie Derosa, NP
Acute Care Nurse Practitioner · Boston, MA
NPI number
1043438013
Active
Practice location
55 Fruit St, Jackson 121
Boston, MA 02114-2621
Mailing address
47 Waverly St
Brighton, MA 02135-1213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 191864 (MA) |
| Nurse Practitioner | 363L00000X | 191864 (MA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1043438013
Nancy Marie Derosa, NP's National Provider Identifier is 1043438013, issued on Apr 23, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Boston, MA. The record was last updated on Apr 7, 2017.