Individual provider · Type 1 NPI
Jose Marie Cornelio Derla, RN
Psychiatric/Mental Health Registered Nurse · Zion, IL
NPI number
1386965754
Active
Practice location
2400 Michael Ave
Zion, IL 60099-9224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 041.359360 (IL) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1386965754
Jose Marie Cornelio Derla, RN's National Provider Identifier is 1386965754, issued on Jun 18, 2010. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Zion, IL. The record was last updated on Jun 18, 2010.