Derick Duckworth

NPI #1972385300 in Appleton, Wisconsin

Provider Information

NPI Number: 1972385300
Entity Type: Individual
Name: Derick Duckworth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Oct 19, 2023
Last Updated: Oct 19, 2023

Practice Location

Address: 3327 N CASALOMA DR UNIT 197
City: Appleton
State: Wisconsin
ZIP Code: 54913-7963
Phone: (360) 620-2644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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