Theresa Lydia Deroy in Douglas - Registered Nurse
Theresa Lydia Deroy - NPI 1972636736
Theresa Lydia Deroy is a Registered Nurse in Douglas, Massachusetts. Theresa Lydia Deroy practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Theresa Lydia Deroy is 1972636736. The last update date is 2007-07-09.
Theresa Lydia Deroy's current location address is 753 Nw Main St, Douglas, Massachusetts. You can contact this provider via phone number 5084761112 and fax number 5084762444. The mailing address for Theresa Lydia Deroy is 753 Nw Main St, Douglas, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Lydia Deroy |
|---|---|
| Address | 753 Nw Main St, Douglas, Massachusetts |
| Phone Number | 5084761112 |
| Fax Number | 5084762444 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972636736 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 753 Nw Main St |
|---|---|
| City | Douglas |
| State | Massachusetts (MA) |
| Post Code | 15162802 |
| Phone Number | 5084761112 |
| Fax Number | 5084762444 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 175554 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 708119 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Theresa Lydia Deroy by the Centers for Medicare & Medicaid Services?
The Theresa Lydia Deroy has been assigned the NPI (National Provider Identifier) 1972636736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Theresa Lydia Deroy located?
The Theresa Lydia Deroy is located at 753 Nw Main St, Douglas, MA 15162802.
What is Theresa Lydia Deroy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theresa Lydia Deroy's area of specialization is Registered Nurse, and the corresponding taxonomy code that categorizes this field of practice is 163W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972636736 to Theresa Lydia Deroy?
The Centers for Medicare & Medicaid Services originally issued the 1972636736 to Theresa Lydia Deroy on 2007-03-13.
As of what date were the Theresa Lydia Deroy's details last updated?
The information pertaining to the Theresa Lydia Deroy, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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