Individual
RICHARD L DERRICK
Active
Individual
RICHARD L DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9469329
FL
367500000X
Certified Registered Nurse Anesthetist
0024179084
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
9639260-4406
UT
Other
Enumeration date
02/12/2020
Last updated
12/18/2024
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