Individual ProviderAlexandria DeroseNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3045 Marietta Ave, Lancaster, PA 17601-1321(717) 898-2900PECOS EnrollmentBased on the most recent information from CMS, provider Alexandria Derose does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1316340730Provider TypeIndividualFull NameDerose, AlexandriaCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date9/30/2014Last Updated10/6/2014Contact InformationPractice LocationPractice Address3045 Marietta Ave, Lancaster, PA 17601-1321Phone(717) 898-2900Fax(717) 898-3275Mailing LocationMailing Address3045 Marietta Ave, Lancaster, PA 17601-1321Phone(717) 898-2900Fax(717) 898-3275Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP014293PennsylvaniaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN617744Pennsylvania