CAROLE DERUCKI, FNP-BC

FNP-BC

Family Nurse Practitioner

NPI: 1205809225IndividualAccepts Medicare

Specialties, Licenses & Credentials

Specialist

Code: 174400000X

71002723A(IN)

Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

4704166108(MI)71002723A(IN)

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

4704166108(MI)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2005

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Contact & Hours

Address: 3809 N MAIN ST STE 100
MISHAWAKA, IN 46545
Phone: (574) 520-1700

Locations (2)

Practice Location

3809 N MAIN ST STE 100, MISHAWAKA, IN

Practice Location

2900 LAKEVIEW AVE, SAINT JOSEPH, MI

Quick Facts

NPI: 1205809225
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 4
Locations: 2
Years in Practice: 21

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