Individual
CATHY JO DEROSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
525 S LAKE AVE, SUITE 222, DULUTH, MN 55802-2362
(218) 279-8372
Mailing address
525 S LAKE AVE, SUITE 222, DULUTH, MN 55802-2362
(218) 279-8372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 118118-0
MN
163WC0400X
Case Management Registered Nurse
Primary
R 118118-0
MN
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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