Individual
DERRICK EVAN PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
724 S 1600 W STE 200, MAPLETON, UT 84664-4349
(385) 448-0055
Mailing address
724 S 1600 W STE 200, MAPLETON, UT 84664-4349
(385) 448-0055
(801) 797-0281
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7675886-4405
UT
Other
Enumeration date
08/06/2014
Last updated
03/03/2023
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