Individual provider · Type 1 NPI
Victoria Derue, PNP
Pediatric Nurse Practitioner · Rochester, NY
NPI number
1720438112
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Fax (585) 276-1128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 382640 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1720438112
Victoria Derue, PNP's National Provider Identifier is 1720438112, issued on Jun 15, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochester, NY. The record was last updated on Jun 29, 2023.