Individual
NICOLE M DEROSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9201 E MOUNTAIN VIEW RD STE 220, SCOTTSDALE, AZ 85258-5172
(877) 564-3627
Mailing address
927 S WATERBORO RD, LYMAN, ME 04002-6246
(207) 776-9005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP211045
ME
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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