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

DERRICK GLEN OSOUP

Active

DERRICK GLEN OSOUP is a Case Manager healthcare provider located in PETERSBURG, Alaska. NPI 1629830625 is currently active in the NPPES registry. Verify at CMS.

Case Manager · PETERSBURG, AK

Registration Details

NPI Number
1629830625
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2024 (2.3711156210011 yrs)
Last Updated
Jan 25, 2024

Practice Information

Address
100 FRAM STREET
PETERSBURG, AK, 99833
Browse AK providers · Browse ZIP 99833
Phone
9077724963
Fax
9078745190
Primary Specialty
Case Manager
171M00000X

Other Case Manager Providers in PETERSBURG, AK

Name Credential NPI
MS. PEGGY ANN FLORO BA 1699002287
BRANDY BOGGS 1457063109
SAVANNAH SPERL 1073394425
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.