Derolus, Anie Sophia

Derolus, Anie Sophia is an sole proprietor health care provider with primary practice located at 152 Wood Ave , Hyde Park MA 02136-3857. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Derolus, Anie Sophia can be contacted via phone (617) 953-6617.

Contact Information

Primary practice address
152 Wood Ave Hyde Park MA 02136-3857
Phone: (617) 953-6617
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN2348277 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2348277 Massachusetts

Profile Details

NPI number 1306554068
LBN Legal business name Derolus, Anie Sophia
Credentials MSN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2022
Last updated Nov 20th, 2023 - about 2 years ago

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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