REBECA CLERVILLE DERATUS FNP NPI 1912194358

NPI Information

  • NPI: 1912194358
  • Provider Name: REBECA CLERVILLE DERATUS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1 PENN PLAZA 7TH FL STE 725
    EVERCARE UNITED HEALTHCARE
    NEW YORK, NY
    ZIP 10119
  • Phone: (212) 216-6568

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NPI Details

Rebeca Clerville Deratus, FNP is a family nurse practitioner in New York, NY. Rebeca Clerville Deratus, FNP NPI is 1912194358. 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 PENN PLAZA 7TH FL STE 725
EVERCARE UNITED HEALTHCARE
NEW YORK, NY
ZIP 10119
Phone: (212) 216-6568
Fax: (212) 216-6606

The enumeration date for this NPI number is 10/1/2007 and was last updated on 9/14/2009.

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
1363LF0000XNurse PractitionerFamily335173NEW YORKYes

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: 11/21/2025

NPI Synchronization or Removal

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