Doctor Name: | NANCY E. DERKOWSKI |
NPI Number: | 1801049648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1401 Churchill St Waupaca, WI - 549812027 |
Business Phone Number: | 7152588131 |
Business Fax Number: | |
Mailing Address: | N3579 Woodfield Ct, WAUPACA |
State: | WI |
Postal Code: | 549818524 |
Phone Number: | 7152589772 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2008 |
NPI Last Update Date: | 10/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |