IndividualActive
Derek Douglas, RPSGT, CNA, FCMT, BS
NPI 1023706041 · Other Specialist/Technologist · Gunnison, CO
Provider details
- NPI number
- 1023706041
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RPSGT, CNA, FCMT, BS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Health & Wellness Coach171400000X
Other Service Providers
- Other Technician247200000X
Technologists, Technicians & Other Technical Service Providers
- Religious Nonmedical Practitioner374K00000X
Nursing Service Related Providers
Nursing Service Related Providers
Nursing Service Related Providers
Practice location
523 N Pine St.
Gunnison, CO 81230-2615
Phone: (970) 746-6387
Fax: (970) 832-9287
Approximate (ZIP-level) locationGet directions
Mailing address
4 Willow Ln
Gunnison, CO 81230-9762
Registry dates
- Enumerated
- 2023-04-27
- Last updated
- 2023-08-18
- Certified
- 2023-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.