National Provider Identifier
Tara A Derosa
Tara A Derosa is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-4711.
Profile Overview
- NPI
- 1619603107
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- July 27, 2022
- Last Updated
- August 02, 2022
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-4711
Mailing Address
- 601 Elmwood Ave Box Med
- Rochester, NY 14642-0001
Specialties
- Family Nurse Practitioner (363LF0000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1619603107
- Entity Type
- Individual
- Last Name
- Derosa
- First Name
- Tara
- Middle Name
- A
- Mailing Street Address
- 601 Elmwood Ave Box Med
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-4711
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-4711
- Enumeration Date
- July 27, 2022
- Last Updated
- August 02, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 28, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)