National Provider Identifier
Katie Derrick
Katie Derrick is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 435-5605.
Profile Overview
- NPI
- 1801346002
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 12, 2016
- Last Updated
- October 12, 2016
Practice Location
- 232 Aris Ave
- Cheektowaga, NY 14206-1943
Phone: (716) 435-5605
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1801346002
- Entity Type
- Individual
- Last Name
- Derrick
- First Name
- Katie
- Mailing Street Address
- 232 Aris Ave
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14206-1943
- Mailing Country
- US
- Practice Street Address
- 232 Aris Ave
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14206-1943
- Practice Country
- US
- Practice Phone
- (716) 435-5605
- Enumeration Date
- October 12, 2016
- Last Updated
- October 12, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)