MRS. Carole Anne Derucki, FNP-BC
NPI #1205809225 in Saint Joseph, Michigan
Provider Information
- NPI Number
- 1205809225
- Entity Type
- Individual
- Name
- MRS. Carole Anne Derucki, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Feb 9, 2006
- Last Updated
- Feb 29, 2024
Practice Location
- Address
- 2900 LAKEVIEW AVE
- City
- Saint Joseph
- State
- Michigan
- ZIP Code
- 49085-2379
- Phone
- (269) 932-7859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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