person
Nicole Derose, CRNP
Primary Care Nurse Practitioner in Wynnewood, Pennsylvania
NPI 1922492735

Nicole Derose is a Primary Care Nurse Practitioner based in Wynnewood, PA and is specialized in Primary Care. Nicole Derose practices in Wynnewood, PA and has the professional credentials of CRNP. The NPI Number for Nicole Derose is 1922492735 and holds a License No. SP014550 (Pennsylvania).

The current practice location address for Nicole Derose is 100 E Lancaster Ave, Wynnewood, PA and can be reached out via phone at 610-642-3796 and via fax at 610-642-2943.

Location: 100 E Lancaster Ave, Wynnewood, PA, 19096-3450
person
Provider Profile Details
NPI Number
1922492735
Provider Name
Nicole Derose
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
100 E Lancaster Ave, Wynnewood, PA, 19096-3450
Phone Number
610-642-3796
Fax Number
610-642-2943
Provider Enumeration Date
03/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 E Lancaster Ave
City
State
Zip
19096-3450
Phone Number
610-642-3796
Fax Number
610-642-2943
person
Provider Business Mailing Address Details
Address
100 E Lancaster Ave
City
State
Zip
19096-3450
Phone Number
610-642-3796
Fax Number
610-642-2943
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
SP014550 (Pennsylvania)
Definition
Definition to come...
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