MRS. Nichole Leanne Derhake, PNP is a pediatrics nurse practitioner in Saint Louis, MO. MRS. Nichole Leanne Derhake, PNP NPI is 1174075287. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1 CHILDRENS PL
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6000
The NPI 1174075287 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/25/2016 and was last updated on 10/25/2016.