Individual
MRS. AMY MARIE DERUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX 867, WHITE CLOUD, MI 49349-0867
(231) 689-7330
Mailing address
4767 E MONROE RD, WHITE CLOUD, MI 49349-8678
(231) 245-8885
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704284938
MI
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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