Individual provider · Type 1 NPI

Derek A. Chisholm, LPN

Licensed Practical Nurse · Colorado Springs, CO

NPI number 1285710467 Active

Practice location

875 W Moreno Ave
Colorado Springs, CO 80905-1731

Call (719) 572-6200 Map

Fax (719) 572-6427

Mailing address

5045 Cliff Point Cir E
Colorado Springs, CO 80919-8108

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X31420 (CO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1285710467

Derek A. Chisholm, LPN's National Provider Identifier is 1285710467, issued on Oct 31, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 8, 2007.