Deridder, Marilyn M.

Deridder, Marilyn M. is an sole proprietor health care provider with primary practice located at 1211 W La Palma Ave Ste 404 , Anaheim CA 92801-2806. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Deridder, Marilyn M. can be contacted via phone (714) 772-8282.

Contact Information

Primary practice address
1211 W La Palma Ave Ste 404 Anaheim CA 92801-2806
Phone: (714) 772-8282
Fax: (714) 772-6493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X MD5036175 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X MD5036175 California

Profile Details

NPI number 1548748858
LBN Legal business name Deridder, Marilyn M.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2018
Last updated Jan 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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