Individual
SUSEN DEANNE MCCLEERY-DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6065 SPORTS VILLAGE RD, SUITE 600, FRISCO, TX 75033-3523
(214) 705-7390
(214) 705-7393
Mailing address
6065 SPORTS VILLAGE RD, SUITE 600, FRISCO, TX 75033-3523
(214) 705-7390
(214) 705-7393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP128464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568073
—
TX
Enumeration date
09/28/2006
Last updated
08/02/2016
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