Derose, Donna Lynn

Derose, Donna Lynn is an individual health care provider with primary practice located at 145 S Virginia St , Crystal Lake IL 60014-7226. 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. Derose, Donna Lynn can be contacted via phone (815) 444-9999.

Contact Information

Primary practice address
145 S Virginia St Crystal Lake IL 60014-7226
Phone: (815) 444-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209015563 Illinois

Profile Details

NPI number 1285168120
LBN Legal business name Derose, Donna Lynn
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2017
Last updated Apr 18th, 2017 - about 7 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.

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