Dava J Derrick, CNP

NPI #1164421806 in Clayton, Ohio

Provider Information

NPI Number
1164421806
Entity Type
Individual
Name
Dava J Derrick, CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
CNP
Enumeration Date
Jul 15, 2005
Last Updated
Feb 14, 2014

Practice Location

Address
1250 NATIONAL RD
Address 2
SUITE 400
State
Ohio
ZIP Code
45315-9505
Phone
(937) 836-5165

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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