Active NPIIndividual provider

Sheryl Derderian, NP

Nurse Practitioner, Gerontology in West Springfield, Massachusetts

NPI Number1801976352
Practice location
46 Daggett Drive, West Springfield, MA 01089
Fax
413-794-9116
Last updated
August 1, 2014

Sheryl Derderian is a Nurse Practitioner, Gerontology based in West Springfield, MA. Sheryl Derderian practices in West Springfield, MA and has the professional credentials of NP. The NPI Number for Sheryl Derderian is 1801976352 and holds a License No. 156396 (MA). The current practice location address for Sheryl Derderian is 46 Daggett Drive, West Springfield, MA 01089 and can be reached out via phone at 413-794-9110 and via fax at 413-794-9116.

Provider Profile Details

NPI Number
1801976352
Provider Name
Sheryl Derderian
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
46 Daggett Drive, West Springfield, MA 01089
Phone Number
413-794-9110
Fax Number
413-794-9116
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2006
Last Update Date
August 1, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Daggett Drive
West Springfield, MA 01089
Zip
01089
Phone Number
413-794-9110
Fax Number
413-794-9116
West Springfield, MA 01089Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut Street
2ND Floor
Springfield, MA 01199
City
Springfield
State
MA
Zip
01199
Phone Number
413-794-5700

License Information

License Number (1)
156396
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
156396
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Gerontology · 363LG0600X · Primary
License Number (3)
156396
License State (3)
MA
Taxonomy (3)
Internal Medicine, Geriatric Medicine · 207RG0300X

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 Sheryl Derderian, NP?

The NPI number of Sheryl Derderian, NP is 1801976352. It was assigned on October 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Sheryl Derderian, NP?

Sheryl Derderian, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in MA under license number 156396.

Where does Sheryl Derderian, NP practice?

The practice location is 46 Daggett Drive, West Springfield, MA 01089. The office can be reached at 413-794-9110 (phone) or 413-794-9116 (fax).

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 1801976352 directly on the NPPES registry website.

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