person
Mrs. Mary Anne Derrico, APRN-CNP
Family Nurse Practitioner in Elgin, Oklahoma
NPI 1245581974

Mary Anne Derrico is a Family Nurse Practitioner based in Elgin, OK and is specialized in Family. Mary Anne Derrico practices in Elgin, OK and has the professional credentials of APRN-CNP. The NPI Number for Mary Anne Derrico is 1245581974 and holds a License No. 49043 (Oklahoma).

The current practice location address for Mary Anne Derrico is 13631 Ne Townley Rd, Elgin, OK and can be reached out via phone at 580-512-0746 and via fax at 580-250-0506.

Location: 13631 Ne Townley Rd, Elgin, OK, 73538-3705
person
Provider Profile Details
NPI Number
1245581974
Provider Name
Mary Anne Derrico
Credential
APRN-CNP
Provider Entity Type
Individual
Gender
Female
Address
13631 Ne Townley Rd, Elgin, OK, 73538-3705
Phone Number
580-512-0746
Fax Number
580-250-0506
Provider Enumeration Date
09/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45113 01 OK OKLAHOMA STATE BUREAU OF NARCOTICS AND DANGEROUS DRUG CONTROL REGISTRATION NUMBE
institution
Provider Business Practice Location Address Details
Address
13631 Ne Townley Rd
City
State
Zip
73538-3705
Phone Number
580-512-0746
Fax Number
580-250-0506
person
Provider Business Mailing Address Details
Address
13631 Ne Townley Rd
City
State
Zip
73538-3705
Phone Number
580-512-0746
Fax Number
580-250-0506
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
49043 (Oklahoma)
Definition
Definition to come...
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