IndividualActive
Mary Joy Derla
NPI 1407686231 · Family Nurse Practitioner · Fort Totten, ND
Provider details
- NPI number
- 1407686231
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 200103 (ND)
Mailing address
1401 3rd St Ne Apt E
Devils Lake, ND 58301-3323
Registry dates
- Enumerated
- 2024-08-06
- Last updated
- 2024-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.