Individual
BECKY J DRERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1316 E 7TH ST STE 4, AUBURN, IN 46706-2538
(260) 920-2000
(260) 920-3623
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004786A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71004786A
IN
Other
Enumeration date
01/14/2014
Last updated
10/07/2022
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