location
search-icon
person
Tory Deriso
Licensed Practical Nurse in Wixom, Michigan
NPI 1730573247

Tory Deriso is a Licensed Practical Nurse based in Wixom, MI. Tory Deriso practices in Wixom, MI. The NPI Number for Tory Deriso is 1730573247 and holds a License No. 4703108814 (Michigan).

The current practice location address for Tory Deriso is 27026 Meadowood Dr Apt 204, Wixom, MI and can be reached out via phone at 248-773-7687.

Location: 27026 Meadowood Dr Apt 204, Wixom, MI, 48393-3271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730573247
Provider Name
Tory Deriso
Credential
Provider Entity Type
Individual
Gender
Male
Address
27026 Meadowood Dr Apt 204, Wixom, MI, 48393-3271
Phone Number
248-773-7687
Fax Number
Provider Enumeration Date
03/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27026 Meadowood Dr Apt 204
City
Wixom
State
Michigan
Zip
48393-3271
Phone Number
248-773-7687
Fax Number
person
Provider Business Mailing Address Details
Address
27026 Meadowood Dr Apt 204
City
Wixom
State
Michigan
Zip
48393-3271
Phone Number
248-773-7687
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703108814 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.