NEDJIE VASTY DEROLUS
NPI 1164360590
Registered Nurse in Mansfield, MA

Q: What is Nedjie Derolus's NPI number?

The NPI number for Nedjie Derolus is 1164360590. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Q: What is Nedjie Derolus's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nedjie Derolus was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2026

20 CABOT BLVD STE 300, MANSFIELD, MA 02048(617) 953-6980 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Nedjie Vasty Derolus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEDJIE VASTY DEROLUS (NPI 1164360590) is an individual registered nurse in Mansfield, Massachusetts, licensed in Massachusetts (RN2369919) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1164360590

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameNEDJIE VASTY DEROLUS

Location Address20 CABOT BLVD STE 300Mansfield, MA 02048-1183

Mailing Address20 Cabot Blvd Ste 300Mansfield, MA 02048-1183 · (617) 953-6980

Phone(617) 953-6980

Sole ProprietorYes

Enumeration DateMarch 24, 2026

NPPES CertifiedMarch 24, 2026

✔ NPI 1164360590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in MA · RN2369919

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

20 CABOT BLVD STE 300, Mansfield, MA 02048

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE WHITAKER NP

Nurse Practitioner (Psychiatric/Mental Health)