Individual
MRS. ERIN LYNN DERCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
820 W ASSOCIATION DR, APPLETON, WI 54914-1495
(920) 380-4951
Mailing address
N3501 TWELVE CORNERS RD, APPLETON, WI 54913-9747
(920) 740-2277
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5741-33
WI
Other
Enumeration date
04/14/2014
Last updated
03/14/2017
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