VICKIE LEA DELERUYELLE CNP
NPI 1023013430
Nurse Practitioner - Family in Waterford, OH

Active since June 14, 2005
151 ANDERSON LN, WATERFORD, OH 45786(740) 984-2332(740) 984-4435 Get Directions Write a Review

NPPES record last updated: January 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vickie Lea Deleruyelle Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICKIE LEA DELERUYELLE CNP (NPI 1023013430) is an individual family provider in Waterford, Ohio, licensed in Ohio (NP08290) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1023013430
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVICKIE LEA DELERUYELLECredential: CNP
Location Address151 ANDERSON LNWaterford, OH 45786-5312
Mailing AddressPo Box 449Marietta, OH 45750-0449 · (740) 374-4500 · Fax (740) 374-5887
Fax(740) 984-4435
Sole ProprietorYes
Enumeration DateJune 14, 2005
Last NPPES UpdateJanuary 20, 2012
NPI 1023013430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · NP08290
151 ANDERSON LN, Waterford, OH 45786

Other Identifiers 8

OtherP00231317OH · Rrmcr
Other000000699818OH · Anthem
Medicaid3810002943WV
Medicare UPINP91589
Medicare PINNP87001OH
Other000000370964OH · Anthem
Medicare PINNP18433OH
Medicaid2588543OH

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
151 ANDERSON LN
WATERFORD, OH 45786
Clinic/Center (Rural Health)
151 ANDERSON LN
WATERFORD, OH 45786
Nurse Practitioner (Family)
151 ANDERSON LN
WATERFORD, OH 45786
Nurse Practitioner (Acute Care)
151 ANDERSON LN
WATERFORD, OH 45786

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vickie Deleruyelle's NPI number?

The NPI number for Vickie Deleruyelle is 1023013430. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Vickie Deleruyelle located?

Vickie Deleruyelle practices at 151 Anderson Ln, Waterford, OH 45786. The listed phone number is (740) 984-2332.

What is Vickie Deleruyelle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Vickie Deleruyelle was last updated on January 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.