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Mary M Derksen, CNS
Psychiatric/Mental Health Nurse Practitioner in Holland, Michigan
NPI 1194749812

Mary M Derksen is a Psychiatric/Mental Health Nurse Practitioner based in Holland, MI and is specialized in Psychiatric/Mental Health. Mary M Derksen practices in Holland, MI and has the professional credentials of CNS. The NPI Number for Mary M Derksen is 1194749812 and holds a License No. 4704158809 (Michigan).

The current practice location address for Mary M Derksen is 12265 James St, Holland, MI and can be reached out via phone at 616-494-5453.

Location: 12265 James St, Holland, MI, 49424-8613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194749812
Provider Name
Mary M Derksen
Credential
CNS
Provider Entity Type
Individual
Gender
Female
Address
12265 James St, Holland, MI, 49424-8613
Phone Number
616-494-5453
Fax Number
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12265 James St
City
Holland
State
Michigan
Zip
49424-8613
Phone Number
616-494-5453
Fax Number
person
Provider Business Mailing Address Details
Address
12265 James St
City
Holland
State
Michigan
Zip
49424-8613
Phone Number
616-494-5453
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
4704158809 (Michigan)
Definition
Definition to come...
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