Individual provider · Type 1 NPI
Anna Derevyanko
Family Nurse Practitioner · Palm Beach Gardens, FL
NPI number
1962322453
Active
Practice location
3365 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4302
Fax (561) 775-1064
Mailing address
64 Sheffield C
West Palm Beach, FL 33417-1565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11049081 (FL) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1962322453
Anna Derevyanko's National Provider Identifier is 1962322453, issued on Jul 16, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on Jul 16, 2026.