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TAMMY MARIE DERENICK RN
NPI 1932932142
Registered Nurse - General Practice in Dickson Cty, PA

Active since August 22, 2024
1550 MAIN ST, DICKSON CTY, PA 18447(570) 550-0870 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tammy Marie Derenick Rn NPPES

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

TAMMY MARIE DERENICK RN (NPI 1932932142) is an individual general practice provider in Dickson Cty, Pennsylvania, licensed in Pennsylvania (RN767231) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1932932142
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameTAMMY MARIE DERENICKCredential: RN
Location Address1550 MAIN STDickson Cty, PA 18447-1345
Mailing Address1550 Main StDickson Cty, PA 18447-1345 · (570) 550-0870
Phone(570) 550-0870
Sole ProprietorYes
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1932932142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in PA · RN767231
1550 MAIN ST, Dickson Cty, PA 18447
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Other Providers at the Same Location NPPES 5

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

VALLEY INTEGRATED URGENT CARE AND WELLNESS CENTER INC
Clinic/Center (Urgent Care)
1550 MAIN ST
DICKSON CTY, PA 18447
Lackawanna County (570) 550-0870
PRIMARY FOCUS MEDICINE INC
Family Medicine
1550 MAIN ST
DICKSON CTY, PA 18447
Lackawanna County (570) 218-8055
GUADALUPE GUERRERO
Technician/Technologist
1550 MAIN ST
DICKSON CTY, PA 18447
Lackawanna County (570) 550-0870
ALEXANDRA RIGGLEMAN
Pharmacist
1550 MAIN ST
DICKSON CTY, PA 18447
Lackawanna County (570) 307-1322
DENNIS MICHAEL FOX PHARM D
Pharmacist
1550 MAIN ST
DICKSON CTY, PA 18447
Lackawanna County (570) 307-1322

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 Tammy Derenick's NPI number?

The NPI number for Tammy Derenick is 1932932142. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Tammy Derenick located?

Tammy Derenick practices at 1550 Main St, Dickson Cty, PA 18447. The listed phone number is (570) 550-0870.

What is Tammy Derenick's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Tammy Derenick was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.