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Individual
DEREK GREENWOOD
Active
Individual
DEREK GREENWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
163W00000X
Registered Nurse
201905656RN
OR
163W00000X
Registered Nurse
60666998
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP-70008596
WA
Other
Enumeration date
06/08/2023
Last updated
08/27/2025
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