Individual provider · Type 1 NPI
Marie-Lourdes Derisse, RN
Case Management Registered Nurse · Orange, CT
NPI number
1285332916
Active
Practice location
554 Boston Post Rd # 175
Orange, CT 06477-3341
Mailing address
554 Boston Post Rd, 175
Orange, CT 06477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 479264 (NY) |
Case Management Registered Nurse: Definition to come...
About NPI 1285332916
Marie-Lourdes Derisse, RN's National Provider Identifier is 1285332916, issued on Feb 22, 2023. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Orange, CT. The record was last updated on Feb 22, 2023.