CAROLE ANNE DERUCKI, FNP-BC

NPI: 1205809225 · Individual · Active

Primary Specialty

Family Nurse Practitioner
Nurse Practitioner — Family

Practice Location

2900 LAKEVIEW AVE
SAINT JOSEPH, MI 49085-2379 Map ↗
Phone: 269-932-7859
Fax: 269-932-7859

Mailing Address

23448 SHURTE ST
CASSOPOLIS, MI 49031-9738 Map ↗
Phone: 574-993-1158
Fax: 269-408-4346

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Family Nurse Practitioner Primary — Family (license: 4704166108, MI)
  • Specialist (license: 71002723A, IN)
  • Nurse Practitioner (license: 4704166108, MI)
  • Nurse Practitioner (license: 71002723A, IN)

Other Practice Locations

3809 N Main St Ste 100
Mishawaka, IN 46545-3109 Map ↗
Phone: 574-520-1700

NPI Registration

Enumerated: 2006-02-09

Last CMS Update: 2024-02-29