Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDRISSA DERRA
Active Sole ProprietorIDRISSA DERRA is a Contractor healthcare provider located in BRUNSWICK, Ohio. NPI 1194309989 is currently active in the NPPES registry. Verify at CMS.
Contractor · BRUNSWICK, OH
Registration Details
- NPI Number
- 1194309989
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2021 (5.2775846191251 yrs)
- Last Updated
- Nov 28, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
3906 TURNBRIDGE CT UNIT 311BRUNSWICK, OH, 442123093Browse OH providers · Browse ZIP 44212
- Phone
- 2168015639
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in BRUNSWICK, OH
| Name | Credential | NPI |
|---|---|---|
| LINDA FRAME | — | 1952718082 |
| LOUIS H PENNELL | — | 1063105963 |
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.