Individual
MRS. ANN M DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 588-0800
(502) 588-0801
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0800
(502) 588-0801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3000559
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3000559
KY
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
3000559
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201180190
—
IN
05
—
7100296540
—
KY
Enumeration date
02/02/2007
Last updated
01/14/2016
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