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Individual
MR. DEREK ROBERT FREE
Active
Individual
MR. DEREK ROBERT FREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG, CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024176978
VA
363L00000X
Nurse Practitioner
5011226
NC
363LA2100X
Acute Care Nurse Practitioner
CNP.026029
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011226
NC PRESCRIBER ID
NC
Enumeration date
01/08/2019
Last updated
10/24/2023
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