DR. MARILYN M. DERIDDER APRN NPI 1548748858

NPI Information

NPI: 1548748858
Provider Name: DR. MARILYN M. DERIDDER, APRN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1211 W LA PALMA AVE STE 404
ANAHEIM, CA
ZIP 92801
Phone: (714) 772-8282
Get Directions

DR. Marilyn M. Deridder, APRN is an acute care nurse practitioner in Anaheim, CA. DR. Marilyn M. Deridder, APRN NPI is 1548748858. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1211 W LA PALMA AVE STE 404
ANAHEIM, CA
ZIP 92801-806
Phone: (714) 772-8282
Fax: (714) 772-6493

The NPI 1548748858 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 7/30/2018 and was last updated on 1/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		MD5036175	CALIFORNIA	No
2	363LA2100X	Nurse Practitioner	Acute Care	MD5036175	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »