Theresa L Deroy
Registered Nurse in Douglas, Massachusetts
1972636736- Practice location
- 753 NW Main St, Douglas, MA 01516-2802
- Phone
- 508-476-1112
- Fax
- 508-476-2444
- Last updated
- July 9, 2007
Theresa Lydia Deroy is a Registered Nurse based in Douglas, MA. Theresa Lydia Deroy practices in Douglas, MA. The NPI Number for Theresa Lydia Deroy is 1972636736 and holds a License No. 175554 (MA). The current practice location address for Theresa Lydia Deroy is 753 NW Main St, Douglas, MA 01516-2802 and can be reached out via phone at 508-476-1112 and via fax at 508-476-2444.
Provider Profile Details
- NPI Number
- 1972636736
- Provider Name
- Theresa Lydia Deroy
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 753 NW Main St, Douglas, MA 01516-2802
- Phone Number
- 508-476-1112
- Fax Number
- 508-476-2444
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 13, 2007
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 753 NW Main St
Douglas, MA 01516-2802 - City
- Douglas
- State
- Massachusetts
- Zip
- 01516-2802
- Phone Number
- 508-476-1112
- Fax Number
- 508-476-2444
Provider Business Mailing Address Details
- Address
- 753 NW Main St
Douglas, MA 01516-2802 - City
- Douglas
- State
- MA
- Zip
- 01516-2802
- Phone Number
- 508-476-1112
- Fax Number
- 508-476-2444
License Information
- License Number
- 175554
- License State
- MA
- Taxonomy
- Registered Nurse · 163W00000X · 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 Theresa L Deroy?
The NPI number of Theresa L Deroy is 1972636736. It was assigned on March 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Theresa L Deroy?
Theresa L Deroy is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in MA under license number 175554.
Where does Theresa L Deroy practice?
The practice location is 753 NW Main St, Douglas, MA 01516-2802. The office can be reached at 508-476-1112 (phone) or 508-476-2444 (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 1972636736 directly on the NPPES registry website.