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

ALIVIA RENEA DERHAM, APN

Active

ALIVIA RENEA DERHAM, APN is a Nurse Practitioner healthcare provider located in GALESBURG, Illinois. NPI 1386142503 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · GALESBURG, IL

Registration Details

NPI Number
1386142503
Provider Type
Individual
Gender
Female
NPI Issued
Jan 23, 2018 (8.5470253092921 yrs)
Last Updated
Jan 23, 2018
License
209017147 (IL)

Practice Information

Address
3375 N SEMINARY ST
GALESBURG, IL, 614011251
Browse IL providers · Browse ZIP 61401
Phone
3093435114
Fax
3093437859
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in GALESBURG, IL

Name Credential NPI
MARY K. MCKINLEY 1184723934
JANET L. COLLOPY 1699855007
TARA LUCAS A.P.N. 1427366376
MELISSA HAJOSTEK APN 1003164617
ELAINE MARIE FRINK APN 1144657503
ROBIN COOPER APN 1558746701
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.