Individual
MS. BRENDA JOYCE DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3101 W MCDOWELL RD, PHOENIX, AZ 85009-2419
(602) 442-2900
Mailing address
8230 W MIAMI ST, PHOENIX, AZ 85043-1570
(602) 442-2900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP006060
AZ
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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