Individual
DR. DERBY ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 212-4200
Mailing address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 212-4200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
61098690
WA
Other
Enumeration date
09/01/2020
Last updated
08/01/2022
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