Individual
DERIK W SIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1605 STATE RD STE 8, VERMILION, OH 44089-9141
(440) 967-8713
(440) 967-1938
Mailing address
1605 STATE RD STE 8, VERMILION, OH 44089-9141
(440) 967-8713
(440) 967-1938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024223
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335493
—
OH
Enumeration date
02/12/2019
Last updated
07/17/2023
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