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NICHOLAS DERKOWSKI
NPI 1912472242
Licensed Practical Nurse in Appleton, WI

Active since October 13, 2018
2255 W PERSHING ST, APPLETON, WI 54914(920) 509-2025 Get Directions Write a Review

NPPES record last updated: October 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Derkowski NPPES

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

NICHOLAS DERKOWSKI (NPI 1912472242) is an individual licensed practical nurse in Appleton, Wisconsin, licensed in Wisconsin (323307) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1912472242
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameNICHOLAS DERKOWSKI
Location Address2255 W PERSHING STAppleton, WI 54914-6061
Mailing Address2255 W Pershing StAppleton, WI 54914-6061 · (920) 509-2025
Phone(920) 509-2025
Sole ProprietorYes
Enumeration DateOctober 13, 2018
✔ NPI 1912472242 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 WI · 323307
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.
2255 W PERSHING ST, Appleton, WI 54914
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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 Nicholas Derkowski's NPI number?

The NPI number for Nicholas Derkowski is 1912472242. It was assigned to this individual provider in the NPPES registry on October 13, 2018.

Where is Nicholas Derkowski located?

Nicholas Derkowski practices at 2255 W Pershing St, Appleton, WI 54914. The listed phone number is (920) 509-2025.

What is Nicholas Derkowski'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 Nicholas Derkowski was last updated on October 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.