Organization · Type 2 NPI

Drs. Detrick & Detrick Inc.

Family Nurse Practitioner · Maumee, OH

NPI number 1114144300 Active

Practice location

5757 Monclova Road, Suite 14
Maumee, OH 43537

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse First Assistant 163WR0006XRN113039 (OH)
Family Nurse Practitioner Primary 363LF0000X032039822 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1114144300

Drs. Detrick & Detrick Inc.'s National Provider Identifier is 1114144300, issued on Apr 19, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maumee, OH. The record was last updated on Apr 22, 2008.