NPI 1235975707 · live from the CMS NPI Registry
Nicholas Derose, SLP
Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1235975707, active.
NPI record
| NPI | 1235975707 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 6927 Old Seward Hwy Ste 100, Anchorage, AK 99518 |
| Practice phone | 907-345-0050 |
| Enumerated | July 3, 2024 |
| Last updated | July 3, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLPS503 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.