Individual provider · Type 1 NPI
Lillian Derosa, PMHNP-BC, BSN, RN
Psychiatric/Mental Health Nurse Practitioner · Canton, MA
NPI number
1609384221
Active
Practice location
238 High St
Canton, MA 02021-3654
Mailing address
25 Owencroft Rd
Dorchester, MA 02124-4723
Other practice locations
- 235 N Pearl St, Brockton, MA 02301-1794 · (508) 427-3000
- 736 Cambridge St, Brighton, MA 02135-2907 · (617) 789-2102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN2302862 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2302862 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1609384221
Lillian Derosa, PMHNP-BC, BSN, RN's National Provider Identifier is 1609384221, issued on Jan 17, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Canton, MA. The record was last updated on Mar 5, 2025.