MRS. NANCY MARIE DEROSA NP NPI 1043438013

NPI Information

NPI: 1043438013
Provider Name: MRS. NANCY MARIE DEROSA, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
55 FRUIT ST
JACKSON 121
BOSTON, MA
ZIP 02114
Phone: (617) 724-1851
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MRS. Nancy Marie Derosa, NP is an acute care nurse practitioner in Boston, MA. MRS. Nancy Marie Derosa, NP NPI is 1043438013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT ST
JACKSON 121
BOSTON, MA
ZIP 02114-621
Phone: (617) 724-1851

The NPI 1043438013 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 4/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		191864	MASSACHUSETTS	No
2	363LA2100X	Nurse Practitioner	Acute Care	191864	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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