MRS. AMANDA FAY DEROSA RN NPI 1275883373

NPI Information

NPI: 1275883373
Provider Name: MRS. AMANDA FAY DEROSA, RN
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
134 W SATIN ST
JEFFERSON, OH
ZIP 44047
Phone: (440) 813-7463
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MRS. Amanda Fay Derosa, RN is a home health registered nurse in Jefferson, OH. MRS. Amanda Fay Derosa, RN NPI is 1275883373. 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:

134 W SATIN ST
JEFFERSON, OH
ZIP 44047-339
Phone: (440) 813-7463

The enumeration date for this NPI number is 9/16/2012 and was last updated on 9/16/2012.

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	163WH0200X	Registered Nurse	Home Health	RN.384623	OHIO	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: 4/28/2024

NPI Synchronization or Removal

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