Individual provider · Type 1 NPI

Stacy C. Derrera, NP

Nurse Practitioner · Elizabeth, CO

NPI number 1144867243 Active

Practice location

309 Rushmore St
Elizabeth, CO 80107-7928

Mailing address

10900 W 44th Ave, Unit 200
Wheat Ridge, CO 80033-2742

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN.0995141-NP (CO)

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 1144867243

Stacy C. Derrera, NP's National Provider Identifier is 1144867243, issued on Dec 8, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elizabeth, CO. The record was last updated on Jan 9, 2020.