Active NPIIndividual providerSole proprietor

Nedjie V Derolus

Registered Nurse in Mansfield, Massachusetts

NPI Number1164360590
Practice location
20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183
Fax
—
Last updated
March 24, 2026

Nedjie Vasty Derolus is a Registered Nurse based in Mansfield, MA. Nedjie Vasty Derolus practices in Mansfield, MA. The NPI Number for Nedjie Vasty Derolus is 1164360590 and holds a License No. RN2369919 (MA). The current practice location address for Nedjie Vasty Derolus is 20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183 and can be reached out via phone at 617-953-6980.

Provider Profile Details

NPI Number
1164360590
Provider Name
Nedjie Vasty Derolus
Provider Entity Type
Individual
Gender
Female
Address
20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183
Phone Number
617-953-6980
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2026
Last Update Date
March 24, 2026
Certification Date
March 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183
Zip
02048-1183
Phone Number
617-953-6980
Mansfield, MA 02048Get directions →

Provider Business Mailing Address Details

Address
20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183
City
Mansfield
State
MA
Zip
02048-1183
Phone Number
617-953-6980

License Information

License Number
RN2369919
License State
MA
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nedjie V Derolus?

The NPI number of Nedjie V Derolus is 1164360590. It was assigned on March 24, 2026 and is currently active in the NPPES registry.

What is the specialty of Nedjie V Derolus?

Nedjie V Derolus is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number RN2369919.

Where does Nedjie V Derolus practice?

The practice location is 20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183. The office can be reached at 617-953-6980 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164360590 directly on the NPPES registry website.

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