Individual
NANCY MARIE DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15592 MONREAL RD, MADERA, CA 93636-8211
(559) 225-6100
Mailing address
15592 MONREAL RD, MADERA, CA 93636-8211
(559) 225-6100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
235974
CA
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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