Individual
MICHAEL LYNN DERCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MISSION HOSPITAL ST. JOSEPH'S CAMPUS, 428 BILTMORE AVE, ASHEVILLE, NC 28801
(828) 213-1111
Mailing address
128 FLORENCE ST APT 110, ASHEVILLE, NC 28801-0160
(505) 603-6216
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5018352
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2023
Last updated
06/27/2023
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