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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN KAY DERRICKSON, NP-BC

Active

SUSAN KAY DERRICKSON, NP-BC is a Family Medicine healthcare provider located in GOSHEN, Indiana. NPI 1104691153 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GOSHEN, IN

Registration Details

NPI Number
1104691153
Provider Type
Individual
Gender
Female
NPI Issued
Nov 20, 2023 (2.5866438107071 yrs)
Last Updated
Nov 21, 2023
License
71014637A (IN)

Practice Information

Address
213 MIDDLEBURY ST
GOSHEN, IN, 465282956
Browse IN providers · Browse ZIP 46528
Phone
5745343300
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GOSHEN, IN

Name Credential NPI
DR. DIANE S. COOK M.D. 1659370385
DR. JEFFREY A. ECK M.D. 1073512703
FERNANDO S. ESCOVAR M.D. 1760481402
DR. LAURA E MUNKEL M.D. 1104825223
LENORA R. HIRSCHLER M.D. 1801871694
DR. BRIAN D. KING MD 1104896307
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.