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TORY DERISO
NPI 1730573247
Licensed Practical Nurse in Wixom, MI

Active since March 23, 2015
27026 MEADOWOOD DR APT 204, WIXOM, MI 48393(248) 773-7687 Get Directions Write a Review

NPPES record last updated: March 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tory Deriso NPPES

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

TORY DERISO (NPI 1730573247) is an individual licensed practical nurse in Wixom, Michigan, licensed in Michigan (4703108814) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1730573247
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameTORY DERISO
Location Address27026 MEADOWOOD DR APT 204Wixom, MI 48393-3271
Mailing Address27026 Meadowood Dr Apt 204Wixom, MI 48393-3271 · (248) 773-7687
Phone(248) 773-7687
Sole ProprietorNo
Enumeration DateMarch 23, 2015
✔ NPI 1730573247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703108814
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
27026 MEADOWOOD DR APT 204, Wixom, MI 48393
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tory Deriso's NPI number?

The NPI number for Tory Deriso is 1730573247. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Tory Deriso located?

Tory Deriso practices at 27026 Meadowood Dr Apt 204, Wixom, MI 48393. The listed phone number is (248) 773-7687.

What is Tory Deriso's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tory Deriso was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.