NPI 1164360590

Nedjie Vasty Derolus

Practitioner Registered Nurse Mansfield, MA

Practice location

Address: 20 Cabot Blvd STE 300, Mansfield, MA 02048-1183
Phone: (617) 953-6980

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence RN2369919 (MA)

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Registry record

NPI: 1164360590
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2026
Record last updated: 24 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.