Individual provider · Type 1 NPI

Robert John Derby, NP

Nurse Practitioner · Beloit, WI

NPI number 1104593060 Active

Practice location

Beloit Clinic, 1905 E Huebbe Parkway
Beloit, WI 53511-1842

Fax (608) 363-7393

Mailing address

Beloit Health Systems Inc, 1969 W Hart Road
Beloit, WI 53511-2230

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209024153 (IL)
Family Nurse Practitioner 363LF0000X11369-33 (WI)
Nurse Practitioner Primary 363L00000X11369-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104593060

Robert John Derby, NP's National Provider Identifier is 1104593060, issued on Aug 26, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beloit, WI. The record was last updated on Dec 4, 2023.