Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERARTU FESSA HAYATO
ActiveDERARTU FESSA HAYATO is a Long-Term Care Clinical Nurse Specialist healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1912629890 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Clinical Nurse Specialist · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1912629890
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2022 (3.7651941093444 yrs)
- Last Updated
- May 31, 2024
- License
-
1109803 (MN)
Practice Information
- Address
-
3857 VAN DYKE STWHITE BEAR LAKE, MN, 551104347Browse MN providers · Browse ZIP 55110
- Phone
- 9526887128
- Primary Specialty
-
Long-Term Care Clinical Nurse Specialist
364SL0600X
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.