NPI 1932932142 · live from the CMS NPI Registry
Tammy Marie Derenick, RN
Registered Nurse, General Practice in Dickson Cty, PA. National Provider Identifier 1932932142, active.
NPI record
| NPI | 1932932142 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 1550 Main St, Dickson Cty, PA 18447 |
| Practice phone | 570-550-0870 |
| Enumerated | August 22, 2024 |
| Last updated | August 22, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | RN767231 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.