Individual provider · Type 1 NPI

Dawn Marie Derks, ACNS-BC, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · St. Paul, MN

NPI number 1396147377 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2502

Mailing address

1615 Maple Ln
Ashland, WI 54806-3626

Specialties and licenses

TaxonomyCodeLicense
Adult Health Clinical Nurse Specialist 364SA2200X2014005854 (MN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X15001-33 (WI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1396147377

Dawn Marie Derks, ACNS-BC, PMHNP-BC's National Provider Identifier is 1396147377, issued on Sep 21, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Paul, MN. The record was last updated on Feb 9, 2024.