Individual provider · Type 1 NPI

Ashley Derose

Licensed Practical Nurse · Middletown, NY

NPI number 1285530477 Active

Practice location

612 Pocatello Rd
Middletown, NY 10940-6666

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X348199 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1285530477

Ashley Derose's National Provider Identifier is 1285530477, issued on Oct 15, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Middletown, NY. The record was last updated on Oct 15, 2026.