Free, Derek Robert

Free, Derek Robert is an individual health care provider with primary practice located at 844 Kempsville Rd Ste 212 , Norfolk VA 23502-3927. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Free, Derek Robert can be contacted via phone (757) 261-5977.

Contact Information

Primary practice address
844 Kempsville Rd Ste 212 Norfolk VA 23502-3927
Phone: (757) 261-5977
Fax: (757) 275-9913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5011226 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CNP.026029 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024176978 Virginia

Profile Details

NPI number 1063985521
LBN Legal business name Free, Derek Robert
Credentials ACNPC-AG, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2019
Last updated Oct 24th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063985521 NPPES
North Carolina Other 5011226 NC PRESCRIBER ID

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