Derisse, Marie-Lourdes
Derisse, Marie-Lourdes is an sole proprietor health care provider with primary practice located at 554 Boston Post Rd # 175 , Orange CT 06477-3341. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Derisse, Marie-Lourdes can be contacted via phone (203) 815-9279.Contact Information
Primary practice address
554 Boston Post Rd # 175
Orange CT 06477-3341
Phone: (203) 815-9279
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 479264 | New York |
Profile Details
| NPI number | 1285332916 |
|---|---|
| LBN Legal business name | Derisse, Marie-Lourdes |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2023 |
| Last updated | Feb 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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