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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE DEROSE, CRNP

Active

NICOLE DEROSE, CRNP is a Primary Care Nurse Practitioner healthcare provider located in WYNNEWOOD, Pennsylvania. NPI 1922492735 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · WYNNEWOOD, PA

Registration Details

NPI Number
1922492735
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2015 (11.361308762203 yrs)
Last Updated
Mar 19, 2015
License
SP014550 (PA)

Practice Information

Address
100 E LANCASTER AVE
SUITE 230
WYNNEWOOD, PA, 190963450
Browse PA providers · Browse ZIP 19096
Phone
6106423796
Fax
6106422943
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in WYNNEWOOD, PA

Name Credential NPI
ANGELA LAFRANCE CRNP 1972056133
DENEE GABLE 1437622339
MEGAN ELIZABETH CONLEY CRNP 1538892401
EMMANUEL OWUSU AMOAH CRNP 1659124352
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.