Individual provider · Type 1 NPI
Lauren Beth Derks, NP-C
Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1235696782
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Mailing address
611 NE Burning Tree St
Lees Summit, MO 64064-1362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2019005710 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1235696782
Lauren Beth Derks, NP-C's National Provider Identifier is 1235696782, issued on Feb 20, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Jul 29, 2021.