Individual provider · Type 1 NPI
David J. Derosier Jr., ACNPC-AG, CPNP-AC
Acute Care Nurse Practitioner · Worcester, MA
NPI number
1053935072
Active
Practice location
55 Lake Ave N, Pediatric Critical Care
Worcester, MA 01655-0002
Fax (774) 443-2062
Mailing address
PO Box 415348
Boston, MA 02241-5348
Other practice locations
- 55 Lake Ave N, Worcester, MA 01655-0002 · (774) 441-6468
- 123 Summer St, Worcester, MA 01608-1216 · (508) 363-5000
- 119 Belmont St, Worcester, MA 01605-2903 · (774) 441-6468
- 300 Longwood Ave, Boston, MA 02115-5724 · (617) 355-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN269379 (MA) |
| Nurse Practitioner | 363L00000X | RN269379 (MA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN269379 (MA) |
Acute Care Nurse Practitioner: Definition to come...
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Other acute care nurse practitioner providers in Worcester
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About NPI 1053935072
David J. Derosier Jr., ACNPC-AG, CPNP-AC's National Provider Identifier is 1053935072, issued on Jun 5, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Worcester, MA. The record was last updated on Dec 12, 2025.