Individual provider · Type 1 NPI
Carole Anne Derucki, FNP-BC
Family Nurse Practitioner · St. Joseph, MI
NPI number
1205809225
Active
Practice location
2900 Lakeview Ave
St. Joseph, MI 49085-2379
Fax (269) 932-7859
Mailing address
23448 Shurte St
Cassopolis, MI 49031-9738
Other practice locations
- 3809 N Main St Ste 100, Mishawaka, IN 46545-3109 · (574) 520-1700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 71002723A (IN) |
| Nurse Practitioner | 363L00000X | 4704166108 (MI) |
| Nurse Practitioner | 363L00000X | 71002723A (IN) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704166108 (MI) |
Family Nurse Practitioner: Definition to come...
20 other providers at this address
- Pace of Southwest Michigan IncPACE Provider Organization St. Joseph, MI NPI 1568709392
- Region IV Area Agency On Aging, IncCase Management Agency St. Joseph, MI NPI 1003050188
- Region IV Area Agency On Aging, IncGerontology Nurse Practitioner St. Joseph, MI NPI 1265255327
- Region IV Area Agency On Aging, IncCase Management Agency St. Joseph, MI NPI 1366524985
- Andrea Lynn Martin, LCSWClinical Social Worker St. Joseph, MI NPI 1326946708
- Corey AukermanClinical Social Worker St. Joseph, MI NPI 1548105992
- Dana Lynne WillisSocial Worker St. Joseph, MI NPI 1275209074
- Jennifer ScallyCase Manager/Care Coordinator St. Joseph, MI NPI 1205595402
- Jensen Hope Boardman, CHWCase Manager/Care Coordinator St. Joseph, MI NPI 1851120638
- Kimberly Nicole HarmonCommunity Health Worker St. Joseph, MI NPI 1902738305
- Kolleen Marie Bennett, LMSWClinical Social Worker St. Joseph, MI NPI 1417670001
- Loren PerryClinical Social Worker St. Joseph, MI NPI 1417528894
Other family nurse practitioner providers in St. Joseph
- Ivelisse E. Leonor, FAMILY NURSE PRACTIOFamily Nurse Practitioner St. Joseph, MI NPI 1104146042
- Hilary Christine Slemp, N.P.Family Nurse Practitioner St. Joseph, MI NPI 1134532815
- Debra Compton, FNP-BCFamily Nurse Practitioner St. Joseph, MI NPI 1255841060
- Angela M. Nickens, FNPFamily Nurse Practitioner St. Joseph, MI NPI 1326401639
- Margaret O. Stark, N.P.Family Nurse Practitioner St. Joseph, MI NPI 1437421120
- Debora Tenter, NPFamily Nurse Practitioner St. Joseph, MI NPI 1467804567
- Tonya Renee Fisher, CNPFamily Nurse Practitioner St. Joseph, MI NPI 1487025615
- Suzanne Arlene Arendt, RN, FNP-BCFamily Nurse Practitioner St. Joseph, MI NPI 1497355010
About NPI 1205809225
Carole Anne Derucki, FNP-BC's National Provider Identifier is 1205809225, issued on Feb 9, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Joseph, MI. The record was last updated on Feb 29, 2024.