Stacy C Derrera, NP

NPI #1144867243 in Elizabeth, Colorado

Provider Information

NPI Number
1144867243
Entity Type
Individual
Name
Stacy C Derrera, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Dec 8, 2019
Last Updated
Jan 9, 2020

Practice Location

Address
309 RUSHMORE ST
ZIP Code
80107-7928
Phone
(970) 619-9084

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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