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MRS. NANCY MARIE DEROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
55 FRUIT ST, JACKSON 121, BOSTON, MA 02114-2621
(617) 724-1851
Mailing address
47 WAVERLY ST, BRIGHTON, MA 02135-1213
(617) 782-5814

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
191864
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
191864
MA

Other

Enumeration date
04/23/2007
Last updated
04/07/2017
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