| Dava J Derrick, CNP | |
|
1250 National Rd, Suite 400, Clayton, OH 45315-9505 | |
| (937) 836-5165 | |
| (937) 836-6709 |
| Full Name | Dava J Derrick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1250 National Rd, Clayton, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164421806 | NPI | - | NPPES |
| 2372418 | Medicaid | OH | |
| 000000292814 | Other | OH | ANTHEM |
| P00186293 | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP06888 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dava J Derrick, CNP 1250 National Rd, Suite 400, Clayton, OH 45315-9505 Ph: (937) 836-5165 | Dava J Derrick, CNP 1250 National Rd, Suite 400, Clayton, OH 45315-9505 Ph: (937) 836-5165 |
Mr. Fidelis Njok Elokobi, RN BSN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1007 Meadowsweet Dr, Clayton, OH 45315 Phone: 937-837-0607 Fax: 937-837-0607 |
Alana Moeder, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 988 Clinton St, Clayton, OH 45315 Phone: 937-477-1371 |