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Alivia Renea Derham, APN
Nurse Practitioner in Galesburg, Illinois
NPI 1386142503

Alivia Renea Derham is a Nurse Practitioner based in Galesburg, IL. Alivia Renea Derham practices in Galesburg, IL and has the professional credentials of APN. The NPI Number for Alivia Renea Derham is 1386142503 and holds a License No. 209017147 (Illinois).

The current practice location address for Alivia Renea Derham is 3375 N Seminary St, Galesburg, IL and can be reached out via phone at 309-343-5114 and via fax at 309-343-7859.

Location: 3375 N Seminary St, Galesburg, IL, 61401-1251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386142503
Provider Name
Alivia Renea Derham
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
3375 N Seminary St, Galesburg, IL, 61401-1251
Phone Number
309-343-5114
Fax Number
309-343-7859
Provider Enumeration Date
01/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3375 N Seminary St
City
Galesburg
State
Illinois
Zip
61401-1251
Phone Number
309-343-5114
Fax Number
309-343-7859
person
Provider Business Mailing Address Details
Address
3375 N Seminary St
City
Galesburg
State
Illinois
Zip
61401-1251
Phone Number
309-343-5114
Fax Number
309-343-7859
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209017147 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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