Derksen, Mary M

Derksen, Mary M is an individual health care provider with primary practice located at 12265 James St , Holland MI 49424-8613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Derksen, Mary M can be contacted via phone (616) 494-5453.

Contact Information

Primary practice address
12265 James St Holland MI 49424-8613
Phone: (616) 494-5453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704158809 Michigan

Profile Details

NPI number 1194749812
LBN Legal business name Derksen, Mary M
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers