| NPI | 1982156873 |
|---|---|
| Professional Name | JOHN DEREK VANCAMP |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95005329) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 95005329) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2021-05-27 |