Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY C DERRERA, NP
Active Sole ProprietorSTACY C DERRERA, NP is a Nurse Practitioner healthcare provider located in ELIZABETH, Colorado. NPI 1144867243 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ELIZABETH, CO
Registration Details
- NPI Number
- 1144867243
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2019 (6.6867767188792 yrs)
- Last Updated
- Jan 9, 2020
- License
-
APN.0995141-NP (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
309 RUSHMORE STELIZABETH, CO, 801077928Browse CO providers · Browse ZIP 80107
- Phone
- 9706199084
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in ELIZABETH, CO
| Name | Credential | NPI |
|---|---|---|
| KENZIE TARYN MCCABE | NP | 1780550186 |
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.