Individual
SARAH A. DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
31 CAROLINA OAKS DR, FOUNTAIN INN, SC 29644-8505
(864) 980-3202
Mailing address
31 CAROLINA OAKS DR, FOUNTAIN INN, SC 29644-8505
(864) 980-3202
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1958
SC
363LF0000X
Family Nurse Practitioner
Primary
1958
SC
363LF0000X
Family Nurse Practitioner
5007132
NC
363LF0000X
Family Nurse Practitioner
ARNP9388607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0738
—
SC
01
—
P00810359
MEDICARE RAIL ROAD
SC
Enumeration date
06/09/2006
Last updated
09/16/2014
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