Individual provider · Type 1 NPI

Madison Anne Derrico, MD

Student in an Organized Health Care Education/Training Program · Camp Lejeune, NC

NPI number 1629923107 Active

Practice location

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Call (910) 450-4408 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629923107

Madison Anne Derrico, MD's National Provider Identifier is 1629923107, issued on Mar 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Camp Lejeune, NC. The record was last updated on Sep 14, 2026.