Dava J Derrick, CNP is a
Nurse Practitioner based in Clayton, Ohio. Dava J Derrick is licensed to practice in Ohio (license number NP06888) and her current practice location is
1250 National Rd, Suite 400, Clayton, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 836-5165.
NPI number for Dava J Derrick is 1164421806 and her current mailing address is 1250 National Rd, Suite 400, Clayton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164421806.
Provider's Profile
| Full Name | Dava J Derrick |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 1250 National Rd, Clayton, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164421806
- Provider Enumeration Date: 07/15/2005
- Last Update Date: 02/14/2014
Medical Identifiers
Medical identifiers for Dava J Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164421806 | NPI | - | NPPES |
| 2372418 | Medicaid | OH | |
| P00186293 | Other | OH | RR MEDICARE |
| 000000292814 | Other | OH | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | NP06888 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dava J Derrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dava J Derrick, CNP
1250 National Rd, Suite 400,
Clayton, OH 45315-9505
Ph: (937) 836-5165 | Dava J Derrick, CNP
1250 National Rd, Suite 400,
Clayton, OH 45315-9505
Ph: (937) 836-5165 |
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