National Provider Identifier
Martha Ellen Derosia, FNP
Martha Ellen Derosia, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 723-7723.
Profile Overview
- NPI
- 1336455849
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- August 20, 2010
- Last Updated
- March 25, 2015
Practice Location
- 1565 Long Pond RD
- Rochester, NY 14626-4122
Phone: (585) 723-7723
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1336455849
- Entity Type
- Individual
- Last Name
- Derosia
- First Name
- Martha
- Middle Name
- Ellen
- Credential
- FNP
- Mailing Street Address
- 1565 Long Pond RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4122
- Mailing Country
- US
- Mailing Phone
- (585) 723-7723
- Practice Street Address
- 1565 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7723
- Enumeration Date
- August 20, 2010
- Last Updated
- March 25, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)