DAWN MARIE DERKS

SAINT PAUL, MN
NPI1396147377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  15001-33)
Additional Taxonomies364SA2200X Clinical Nurse Specialist, Adult Health
(Licence: MN  2014005854)
Enumeration Date2014-09-21
Last Update Date2024-02-09
Business Address
DAWN MARIE DERKS acns-bc, pmhnp-BC
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: 651-254-3665
Mailing Address
DAWN MARIE DERKS acns-bc, pmhnp-BC
1615 MAPLE LN
ASHLAND, WI 54806-3626
Phone number: 715-685-5500