MARY DERLACKI, FNP
Internal Medicine - Rheumatology
Active
Individual
NPI: 1609947431
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 69483 (ID) |
| Internal Medicine - Rheumatology | 207RR0500X | Yes | 090006104N1 (OR) |
Frequently Asked Questions
NPI 1609947431 is the National Provider Identifier for MARY DERLACKI, FNP, a Internal Medicine - Rheumatology provider located in Boise, ID. This NPI was enumerated on November 13, 2006.
MARY DERLACKI, FNP practices at 2800 W OVERLAND RD, Boise, ID 83705.
Quick Facts
- NPI
- 1609947431
- Type
- Individual
- Enumerated
- Nov 13, 2006
- Last Updated
- Oct 17, 2024
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