Individual
DERRICK WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3048 E BASELINE RD STE 122, MESA, AZ 85204-7288
(760) 401-7428
Mailing address
3048 E BASELINE RD STE 122, MESA, AZ 85204-7288
(480) 497-5933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
296910
AZ
Other
Enumeration date
08/29/2023
Last updated
10/02/2023
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