# MR. DEREK ROBERT FREE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063985521
- **Gender:** Man
- **Credential:** ACNPC-AG, CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0024176978 | VA | Yes |
| 363L00000X | Nurse Practitioner | 5011226 | NC | — |
| 363LA2100X | Acute Care Nurse Practitioner | CNP.026029 | OH | — |

## Other

- **Enumeration date:** 01/08/2019
- **Last updated:** 10/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5011226 | NC PRESCRIBER ID | NC |