Individual
DEREKKA ALYSE YBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 B ST SW, MIAMI, OK 74354-6808
(918) 542-2273
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113409
OK
363L00000X
Nurse Practitioner
2020036159
MO
Other
Enumeration date
10/12/2017
Last updated
08/07/2025
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