Individual provider · Type 1 NPI

Barbara S. Derose, NP

Nurse Practitioner · Indianapolis, IN

NPI number 1902021892 Active

Practice location

11020 Pendleton Pike
Indianapolis, IN 46236-2817

Mailing address

4464 Silver Hill Dr
Greenwood, IN 46142-9665

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28072442A (IN)
Nurse Practitioner Primary 363L00000X71002477A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1902021892

Barbara S. Derose, NP's National Provider Identifier is 1902021892, issued on Apr 16, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 28, 2025.