Anie S Derolus, MSN, FNP-BC
Nurse Practitioner, Family in Hyde Park, Massachusetts
1306554068- Practice location
- 152 Wood Ave, Hyde Park, MA 02136-3857
- Phone
- 617-953-6617
- Fax
- —
- Last updated
- November 20, 2023
Anie Sophia Derolus is a Nurse Practitioner, Family based in Hyde Park, MA. Anie Sophia Derolus practices in Hyde Park, MA and has the professional credentials of MSN, FNP-BC. The NPI Number for Anie Sophia Derolus is 1306554068 and holds a License No. RN2348277 (MA). The current practice location address for Anie Sophia Derolus is 152 Wood Ave, Hyde Park, MA 02136-3857 and can be reached out via phone at 617-953-6617.
Provider Profile Details
- NPI Number
- 1306554068
- Provider Name
- Anie Sophia Derolus
- Credential
- MSN, FNP-BC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 152 Wood Ave, Hyde Park, MA 02136-3857
- Phone Number
- 617-953-6617
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 11, 2022
- Last Update Date
- November 20, 2023
- Certification Date
- November 20, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 152 Wood Ave
Hyde Park, MA 02136-3857 - City
- Hyde Park
- State
- Massachusetts
- Zip
- 02136-3857
- Phone Number
- 617-953-6617
Provider Business Mailing Address Details
- Address
- 152 Wood Ave
Hyde Park, MA 02136-3857 - City
- Hyde Park
- State
- MA
- Zip
- 02136-3857
- Phone Number
- 617-953-6617
License Information
- License Number (1)
- RN2348277
- License State (1)
- MA
- Taxonomy (1)
- Registered Nurse, Psych/Mental Health · 163WP0808X
- License Number (2)
- RN2348277
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Anie S Derolus, MSN, FNP-BC?
The NPI number of Anie S Derolus, MSN, FNP-BC is 1306554068. It was assigned on November 11, 2022 and is currently active in the NPPES registry.
What is the specialty of Anie S Derolus, MSN, FNP-BC?
Anie S Derolus, MSN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2348277.
Where does Anie S Derolus, MSN, FNP-BC practice?
The practice location is 152 Wood Ave, Hyde Park, MA 02136-3857. The office can be reached at 617-953-6617 (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 1306554068 directly on the NPPES registry website.