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Contact Information

NICOLE L DERRICK, PA-C
1500 E MEDICAL CENTER DRIVE
B1 FLOOR UNIVERSITY HOSPOTAL RECP EMERGENCY
ANN ARBOR, MI48109-5301
 Phone: 734-936-6666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE L DERRICK · (Female)

NPI # 1700953882
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/30/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601003849
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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