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Individual

JENNIFER E. DERAAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1136 E STUART ST STE 202, FORT COLLINS, CO 80525-1195
(970) 829-1129
Mailing address
1136 E STUART ST STE 202, FORT COLLINS, CO 80525-1195
(970) 829-1129

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
12614-NP
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0995434
CO

Other

Enumeration date
09/01/2011
Last updated
07/22/2020
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