Individual
MS. ANNA MARIE DEROOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, CPNP
Contact information
Practice address
1792 MERRITT BLVD, DUNDALK, MD 21222
(410) 284-1133
(410) 284-3371
Mailing address
1792 MERRITT BLVD, DUNDALK, MD 21222
(410) 284-1133
(410) 284-3371
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R089564
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120402500
—
MD
Enumeration date
02/07/2006
Last updated
04/20/2016
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