Individual provider · Type 1 NPI

Kaitlin Derks, NP

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1649743766 Active

Practice location

145 Michigan St NE Ste 3100
Grand Rapids, MI 49503-2563

Mailing address

5800 Foremost Dr SE Ste 300
Grand Rapids, MI 49546-7062

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704339488 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1649743766

Kaitlin Derks, NP's National Provider Identifier is 1649743766, issued on Jan 11, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 11, 2020.