Derek Leonard Ebbeskotte, CNP

NPI #1437853249 in Van Wert, Ohio

Provider Information

NPI Number: 1437853249
Entity Type: Individual
Name: Derek Leonard Ebbeskotte, CNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: CNP
Enumeration Date: Mar 27, 2023
Last Updated: Mar 22, 2024

Practice Location

Address: 140 FOX RD STE 104
City: Van Wert
State: Ohio
ZIP Code: 45891-2490
Phone: (419) 232-5291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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