Individual provider · Type 1 NPI

Constance Maria Derosa

Adult Health Nurse Practitioner · Frederick, MD

NPI number 1508428103 Active

Practice location

1562 Opossumtown Pike
Frederick, MD 21702-4920

Mailing address

PO Box 37086
Baltimore, MD 21297-3086

Other practice locations

  • 46B Thomas Johnson Dr Ste 200, Frederick, MD 21702-4501 · (301) 695-6777

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR119937 (MD)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1508428103

Constance Maria Derosa's National Provider Identifier is 1508428103, issued on Jul 3, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Frederick, MD. The record was last updated on Oct 27, 2020.