Derose, Nicole

Derose, Nicole is an individual health care provider with primary practice located at 100 E Lancaster Ave Suite 230, Wynnewood PA 19096-3450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Derose, Nicole can be contacted via phone (610) 642-3796.

Contact Information

Primary practice address
100 E Lancaster Ave Suite 230 Wynnewood PA 19096-3450
Phone: (610) 642-3796
Fax: (610) 642-2943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP014550 Pennsylvania

Profile Details

NPI number 1922492735
LBN Legal business name Derose, Nicole
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2015
Last updated Mar 19th, 2015 - about 9 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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