IndividualActive
Anna Derr
NPI 1730673468 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Grand Rapids, MI
Provider details
- NPI number
- 1730673468
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 28243182A (IN)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 28243182A (IN)
Nursing Service Providers
Practice location
3333 36th St Se
Grand Rapids, MI 49512-2809
Phone: (616) 726-5165
Approximate (ZIP-level) locationGet directions
Mailing address
3333 36th St Se
Grand Rapids, MI 49512-2809
Registry dates
- Enumerated
- 2018-06-16
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.