Individual provider · Type 1 NPI

Sheryl Derderian, NP

Gerontology Nurse Practitioner · West Springfield, MA

NPI number 1801976352 Active

Practice location

46 Daggett Drive
West Springfield, MA 01089

Fax (413) 794-9116

Mailing address

280 Chestnut Street, 2nd Floor
Springfield, MA 01199

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X156396 (MA)
Gerontology Nurse Practitioner Primary 363LG0600X156396 (MA)
Geriatric Medicine (Internal Medicine) Physician 207RG0300X156396 (MA)

Gerontology Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1801976352

Sheryl Derderian, NP's National Provider Identifier is 1801976352, issued on Oct 17, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in West Springfield, MA. The record was last updated on Aug 1, 2014.