Individual provider · Type 1 NPI

Nancy Diane Derosa, ARNP

Women's Health Nurse Practitioner · Fort Knox, KY

NPI number 1205848009 Active

Practice location

289 Ireland Ave
Fort Knox, KY 40121-5111

Mailing address

4540 Wooldridge Ferry Rd
Elizabethtown, KY 42701-6136

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X4590P (KY)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1205848009

Nancy Diane Derosa, ARNP's National Provider Identifier is 1205848009, issued on Aug 12, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Fort Knox, KY. The record was last updated on Jul 8, 2007.