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DERICK WILLIAM MCNARY JR. L.P.N.
NPI 1053632364
Licensed Practical Nurse in Cleveland, OH

Active since June 21, 2010
10955 SHAKER BLVD, SUITE 205, CLEVELAND, OH 44104(216) 773-9969 Get Directions Write a Review

NPPES record last updated: June 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derick William Mcnary Jr. L.p.n. NPPES

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

DERICK WILLIAM MCNARY JR. L.P.N. (NPI 1053632364) is an individual licensed practical nurse in Cleveland, Ohio, licensed in Ohio (PN.130708-M-IV) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1053632364
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameDERICK WILLIAM MCNARY JR.Credential: L.P.N.
Location Address10955 SHAKER BLVD, SUITE 205Cleveland, OH 44104-3724
Mailing AddressPo Box 14794Cleveland, OH 44114-0794 · (216) 773-9969
Phone(216) 773-9969
Sole ProprietorYes
Enumeration DateJune 21, 2010
✔ NPI 1053632364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN.130708-M-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
10955 SHAKER BLVD, Cleveland, OH 44104
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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 Derick Mcnary's NPI number?

The NPI number for Derick Mcnary is 1053632364. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Where is Derick Mcnary located?

Derick Mcnary practices at 10955 Shaker Blvd Suite 205, Cleveland, OH 44104. The listed phone number is (216) 773-9969.

What is Derick Mcnary's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Derick Mcnary was last updated on June 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.