Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY K DERLACKI, FNP
ActiveMARY K DERLACKI, FNP is a Rheumatology healthcare provider located in BOISE, Idaho. NPI 1609947431 is currently active in the NPPES registry. Verify at CMS.
Rheumatology · BOISE, ID
Registration Details
- NPI Number
- 1609947431
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2006 (19.728027144194 yrs)
- Last Updated
- Oct 17, 2024
- Licenses
-
69483 (ID)090006104N1 (OR)
Practice Information
- Address
-
2800 W OVERLAND RDBOISE, ID, 837053038Browse ID providers · Browse ZIP 83705
- Phone
- 2088011414
- Fax
- 2082072866
- Primary Specialty
-
Rheumatology
207RR0500X
- Additional Specialty
- Rheumatology
Other Rheumatology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. PEGGY ANN RUPP | MD | 1932199437 |
| DR. JAMES ROBERT POLK | MD | 1003847633 |
| WILLIAM PATRICK KNIBBE | MD | 1457363673 |
| DR. DESMOND ANIM-APPIAH | MD | 1164434635 |
| JAMES E LOVELESS | MD | 1396851341 |
| DR. FRANCIS JOSEPH DEGA | MD | 1033289798 |
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.