NPI Profile for DERARTU F HAYATO in WHITE BEAR LAKE, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Long-Term Care |
364SL0600X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1912629890 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/16/2022 | |
| Last updated | 05/31/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DERARTU F HAYATO
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