Active NPIIndividual providerSole proprietor

Marie-Lourdes Derisse, RN

Registered Nurse, Case Management in Orange, Connecticut

NPI Number1285332916
Practice location
554 Boston Post RD # 175, Orange, CT 06477-3341
Fax
—
Last updated
February 22, 2023

Marie-Lourdes Derisse is a Registered Nurse, Case Management based in Orange, CT. Marie-Lourdes Derisse practices in Orange, CT and has the professional credentials of RN. The NPI Number for Marie-Lourdes Derisse is 1285332916 and holds a License No. 479264 (NY). The current practice location address for Marie-Lourdes Derisse is 554 Boston Post RD # 175, Orange, CT 06477-3341 and can be reached out via phone at 203-815-9279.

Provider Profile Details

NPI Number
1285332916
Provider Name
Marie-Lourdes Derisse
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
554 Boston Post RD # 175, Orange, CT 06477-3341
Phone Number
203-815-9279
Primary Taxonomy
Registered Nurse, Case Management · 163WC0400X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2023
Last Update Date
February 22, 2023
Certification Date
February 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
554 Boston Post RD # 175
Orange, CT 06477-3341
City
Orange
Zip
06477-3341
Phone Number
203-815-9279
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
554 Boston Post RD
175
Orange, CT 06477
City
Orange
State
CT
Zip
06477
Phone Number
203-815-9279

License Information

License Number
479264
License State
NY
Taxonomy
Registered Nurse, Case Management · 163WC0400X · 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 Marie-Lourdes Derisse, RN?

The NPI number of Marie-Lourdes Derisse, RN is 1285332916. It was assigned on February 22, 2023 and is currently active in the NPPES registry.

What is the specialty of Marie-Lourdes Derisse, RN?

Marie-Lourdes Derisse, RN is registered under the primary taxonomy Registered Nurse, Case Management (code 163WC0400X), licensed in NY under license number 479264.

Where does Marie-Lourdes Derisse, RN practice?

The practice location is 554 Boston Post RD # 175, Orange, CT 06477-3341. The office can be reached at 203-815-9279 (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 1285332916 directly on the NPPES registry website.

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