Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYNN MARIE DERICKSON
ActiveChild & Adolescent Psychiatric Nurse · FRUITLAND, MD
Registration Details
- NPI Number
- 1588538870
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2025 (0.59406667710077 yrs)
- Last Updated
- Oct 1, 2025
- License
-
R042119 (MD)
Practice Information
- Address
-
103 E MAIN STFRUITLAND, MD, 218261604Browse MD providers · Browse ZIP 21826
- Phone
- 4108313899
- Fax
- 4432102786
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
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.