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Derek Fenton
Family Nurse Practitioner in Ogdensburg, New York
NPI 1245923424

Derek Fenton is a Family Nurse Practitioner based in Ogdensburg, NY and is specialized in Family. Derek Fenton practices in Ogdensburg, NY. The NPI Number for Derek Fenton is 1245923424 and holds a License No. 351949 (New York).

The current practice location address for Derek Fenton is 102 Ford St, Ogdensburg, NY and can be reached out via phone at 315-713-9350.

Location: 102 Ford St, Ogdensburg, NY, 13669-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245923424
Provider Name
Derek Fenton
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 Ford St, Ogdensburg, NY, 13669-1402
Phone Number
315-713-9350
Fax Number
Provider Enumeration Date
06/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Ford St
City
Ogdensburg
State
New York
Zip
13669-1402
Phone Number
315-713-9350
Fax Number
person
Provider Business Mailing Address Details
Address
102 Ford St
City
Ogdensburg
State
New York
Zip
13669-1402
Phone Number
315-713-9350
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
351949 (New York)
Definition
Definition to come...
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