Individual provider · Type 1 NPI

Marilyn M. Deridder, APRN

Acute Care Nurse Practitioner · Anaheim, CA

NPI number 1548748858 Active

Practice location

1211 W La Palma Ave Ste 404
Anaheim, CA 92801-2806

Fax (714) 772-6493

Mailing address

751 S Weir Canyon Rd Ste 328
Anaheim, CA 92808-1962

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XMD5036175 (CA)
Acute Care Nurse Practitioner Primary 363LA2100XMD5036175 (CA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1548748858

Marilyn M. Deridder, APRN's National Provider Identifier is 1548748858, issued on Jul 30, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Anaheim, CA. The record was last updated on Jan 4, 2023.