Kristopher Derbyshire
Nurse Practitioner - Primary Care
6095 Marshalee Dr United Health Group/optum
Elkridge
, Maryland 21075-6053
Kristopher Derbyshire
Nurse Practitioner - Primary Care
6095 Marshalee Dr United Health Group/optum
Elkridge
, Maryland 21075-6053
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Kristopher Derbyshire
- 6095 Marshalee Dr Suite #100
- Elkridge, MD
- Zip : 21075-6053
- Phone :
Second Address
- Kristopher Derbyshire
- 6095 Marshalee Dr United Health Group/optum
- Elkridge, MD
- Zip : 21075-6053
- Phone : (410) 379-3599
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Is Kristopher Derbyshire a sole practitioner?
Is Kristopher Derbyshire accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | R200668 | MD |
National Provider Identifier
| NPI | 1083158042 |
|---|---|
| Provider Name | Kristopher Derbyshire |
| First Address | Elkridge, MD 21075-6053 |
| Second Address | Elkridge, MD 21075-6053 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.