Mary Joy E Derla Valid NPI

Individual provider · Family Nurse Practitioner · Fort Totten, ND

NPI

1407686231

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

200103 (ND)

Sex

Female

Sole proprietor

No

Enumerated

2024-08-06

Last updated

2024-08-06