VICKIE LEA DELERUYELLE (NPI# 1023013430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023013430 |
| Entity Type | Individual |
| Full Name | VICKIE LEA DELERUYELLE |
| Credential | CNP |
| Practice Address |
151 Anderson Ln Waterford OH 45786-5312 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7409842332 |
| Practice Fax Number | 7409844435 |
| Mailing Telephone | 7403744500 |
| Mailing Fax Number | 7403745887 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2012-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP08290 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000370964 | 01 |
| OH | ANTHEM | 000000699818 | 01 |
| WV | 3810002943 | 05 | |
| OH | 2588543 | 05 | |
| OH | RRMCR | P00231317 | 01 |
| Street Address |
151 ANDERSON LN |
| City | WATERFORD |
| State | OH |
| Zip Code | 45786-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851797377 | Patricia Davidson | Nurse Practitioner | 151 Anderson Ln, Waterford, OH 45786-5312 | 2014-11-11 |
| 1780086538 | Rachel L March | Nurse Practitioner | 151 Anderson Ln, Waterford, OH 45786-5312 | 2014-09-24 |
| 1043536261 | Jeremy Ward Waters | Internal Medicine | 151 Anderson Ln, Waterford, OH 45786-5312 | 2010-04-13 |
| 1285687020 | Selby General Hospital, Inc. | Family Medicine | 151 Anderson Ln, Waterford, OH 45786-5312 | 2006-05-19 |
| 1043215338 | Gary G Waters | Emergency Medicine | 151 Anderson Ln, Waterford, OH 45786-5312 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043777113 | Joslynn Trail | Specialist/Technologist | 19701 Oh-339, Waterford, OH 45786 | 2019-02-26 |
| 1467691352 | Wolf Creek Local School District | Local Education Agency (LEA) | 330 Main Street, Waterford, OH 45786-0067 | 2009-02-17 |
| 1164737987 | Darla J Schafer | Licensed Practical Nurse | 16372 State Route 676, Waterford, OH 45786-5113 | 2010-08-17 |
| 1356881015 | Hayli Hanson | Home Health Aide | 26 Maple Cir, Waterford, OH 45786-5321 | 2017-02-28 |
| 1346207016 | Lisa Guiler | Licensed Practical Nurse | 1438 Milner Rd, Waterford, OH 45786-6014 | 2006-04-27 |
| 1124346077 | Marie Ellen Russell | Licensed Practical Nurse | 165 Sunset Ln, Waterford, OH 45786-6337 | 2010-05-16 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427675214 | Dayna Niewolak | Nurse Practitioner | 3034 Harbor Ct, Waterford, MI 48328-2593 | 2020-06-29 |
| 1184273179 | Cathy Jo Duchow-cross | Nurse Practitioner | 7914 Foxwater Blvd, Waterford, WI 53185-1882 | 2019-09-11 |
| 1972164366 | Richard Barrie Dalrymple | Nurse Practitioner | 3249 Golfhill Dr, Waterford, MI 48329-4520 | 2019-06-26 |
| 1396301685 | Katelyn Peticca Hawley | Nurse Practitioner | 3525 Karen Pkwy Apt 204, Waterford, MI 48328-4609 | 2019-05-13 |
| 1427552587 | Kailey Allison Temple | Nurse Practitioner | 3901 Highland Rd Ste D, Waterford, MI 48328-2162 | 2018-03-22 |
| 1043696867 | Janetlynne Erickson | Nurse Practitioner | 194 Riviera Ter, Waterford, MI 48328-3465 | 2015-08-04 |
| 1114251360 | Mary Beth Martin | Nurse Practitioner | 260 Hudson River Rd, Waterford, NY 12188-1910 | 2009-09-21 |
| 1629088802 | Goranka Anne Vucenovic | Nurse Practitioner | 4995 Highland Rd, Waterford, MI 48328-1143 | 2006-08-09 |
| 1598244246 | Shera Carolyn Ivy Thompson | Nurse Practitioner | 2446 Elizabeth Lake Rd, Waterford, MI 48328-3310 | 2018-08-13 |
| 1326545369 | Nicole Wendel | Nurse Practitioner | 1724 Airport Rd, Waterford, MI 48327-1390 | 2018-04-06 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.