289 IRELAND AVE
FORT KNOX, KY 40121-5111 US PECOS Enrolled
Nancy Diane Derosa
Nurse Practitioner (Women's Health)
- FORT KNOX, KY
- Phone: (502)-624-9007
- Last Updated 7/8/2007
Overview
Nancy Diane Derosa is a Nurse Practitioner (Women's Health) in the FORT KNOX area. Nancy Diane Derosa primary office location is at 289 IRELAND AVE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205848009 and the information was updated approximately 17 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 4590P | KY |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Nurse Practitioner (Women's Health) - Taxonomy Code 363LW0102X | KY | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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