Individual
ELIZABETH MARIE DERHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, APRN-CNP
Contact information
Practice address
8611 RYAN RD, SEVILLE, OH 44273-9534
(330) 241-1767
Mailing address
8611 RYAN RD, SEVILLE, OH 44273-9534
(330) 241-1767
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN356253
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0037269
OH
Other
Enumeration date
07/29/2024
Last updated
08/14/2024
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