Individual
MRS. KATHY DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1760 E PECOS RD STE 102, GILBERT, AZ 85295-3201
(480) 690-8412
Mailing address
4366 S AVENIDA DE ANGELES, GOLD CANYON, AZ 85118-2976
(217) 521-8703
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011668
IL
Other
Enumeration date
07/28/2014
Last updated
01/20/2026
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