Individual
MRS. AMY MARIE DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
10345 PROFESSIONAL CIR STE 125, RENO, NV 89521-3100
(775) 348-7300
Mailing address
821 DIVOT DR, FERNLEY, NV 89408-6680
(760) 953-3268
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
18030
NV
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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