Mary M Derksen, CNS Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Holland, MI

NPI

1194749812

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

4704158809 (MI)

Sex

Female

Sole proprietor

No

Enumerated

2006-07-26

Last updated

2012-02-13