Individual provider · Type 1 NPI
Anie Sophia Derolus, MSN, FNP-BC
Family Nurse Practitioner · Hyde Park, MA
NPI number
1306554068
Active
Practice location
152 Wood Ave
Hyde Park, MA 02136-3857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN2348277 (MA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN2348277 (MA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306554068
Anie Sophia Derolus, MSN, FNP-BC's National Provider Identifier is 1306554068, issued on Nov 11, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hyde Park, MA. The record was last updated on Nov 20, 2023.