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

MRS. CAROLE ANNE DERUCKI, FNP-BC

Active

MRS. CAROLE ANNE DERUCKI, FNP-BC is a Family Nurse Practitioner healthcare provider located in SAINT JOSEPH, Michigan. NPI 1205809225 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SAINT JOSEPH, MI

Registration Details

NPI Number
1205809225
Provider Type
Individual
Gender
Female
NPI Issued
Feb 9, 2006 (20.48756702894 yrs)
Last Updated
Feb 29, 2024
Licenses
71002723A (IN)
4704166108 (MI)
71002723A (IN)
4704166108 (MI)

Practice Information

Address
2900 LAKEVIEW AVE
SAINT JOSEPH, MI, 490852379
Browse MI providers · Browse ZIP 49085
Phone
2699327859
Fax
2699327859
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SAINT JOSEPH, MI

Name Credential NPI
IVELISSE E LEONOR FAMILY NURSE PRACTIO 1104146042
MARGARET O. STARK N.P. 1437421120
MS. HILARY CHRISTINE SLEMP N.P. 1134532815
MRS. TONYA RENEE FISHER CNP 1487025615
REBECCA JANE MARKUS NP 1912366535
MRS. ANGELA M NICKENS FNP 1326401639
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.