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Dawn Marie Derks, ACNS-BC,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Saint Paul, Minnesota
NPI 1396147377

Dawn Marie Derks is a Psychiatric/Mental Health Nurse Practitioner based in Ashland, MN and is specialized in Psychiatric/Mental Health. Dawn Marie Derks practices in Saint Paul, MN and has the professional credentials of ACNS-BC,PMHNP-BC. The NPI Number for Dawn Marie Derks is 1396147377 and holds a License No. 2014005854 (Minnesota).

The current practice location address for Dawn Marie Derks is 640 Jackson St, Saint Paul, MN and can be reached out via phone at 651-254-3665.

Location: 640 Jackson St, Saint Paul, MN, 54806-3626
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Provider Profile Details
NPI Number
1396147377
Provider Name
Dawn Marie Derks
Credential
ACNS-BC,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
640 Jackson St, Saint Paul, MN, 54806-3626
Phone Number
651-254-3665
Fax Number
Provider Enumeration Date
09/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C02467 01 MN MEDICARE
institution
Provider Business Practice Location Address Details
Address
640 Jackson St
City
State
Zip
55101-2502
Phone Number
651-254-3665
Fax Number
person
Provider Business Mailing Address Details
Address
640 Jackson St
City
State
Zip
55101-2502
Phone Number
651-254-3665
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
15001-33 (Wisconsin)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
License No.
2014005854 (Minnesota)
Definition
Definition to come...
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