Individual
KRISTOPHER DERBYSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
6095 MARSHALEE DR, UNITED HEALTH GROUP/OPTUM, ELKRIDGE, MD 21075-6053
(410) 379-3599
Mailing address
6095 MARSHALEE DR, SUITE #100, ELKRIDGE, MD 21075-6053
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R200668
MD
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
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