Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TORY DERISO
ActiveTORY DERISO is a Licensed Practical Nurse healthcare provider located in WIXOM, Michigan. NPI 1730573247 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · WIXOM, MI
Registration Details
- NPI Number
- 1730573247
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2015 (11.398771195317 yrs)
- Last Updated
- Mar 23, 2015
- License
-
4703108814 (MI)
Practice Information
- Address
-
27026 MEADOWOOD DR APT 204WIXOM, MI, 483933271Browse MI providers · Browse ZIP 48393
- Phone
- 2487737687
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in WIXOM, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. FELICIA MARSHALL | LPN | 1629496450 |
| DIANA NCHAMUKONG | — | 1437562840 |
| ELVIRA SHANI | — | 1538561246 |
| RENEE SCHULTZ | — | 1487043311 |
| KIM HINZMAN | — | 1861870800 |
| MAUREEN OGBU | — | 1518310218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.