Individual provider · Type 1 NPI
Rebeca Clerville Deratus, FNP
Family Nurse Practitioner · New York, NY
NPI number
1912194358
Active
Practice location
1 Penn Plaza 7th Fl Ste 725, Evercare United Healthcare
New York, NY 10119
Fax (212) 216-6606
Mailing address
1 Penn Plaza 7th Fl Ste, Evercare United Healthcare
New York, NY 10119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 335173 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1912194358
Rebeca Clerville Deratus, FNP's National Provider Identifier is 1912194358, issued on Oct 1, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Sep 14, 2009.