Mary Derlacki, FNP

NPI 1609947431 · on the registry since 2006

Practice

Address: 2800 W Overland Rd
Boise, ID 83705
Phone: (208) 801-1414
Fax: (208) 207-2866
Organisation at this address: Healing House Pllc
Boise Ketamine Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Rheumatology Physician
207RR0500X
Also registered as: Family Nurse Practitioner
Licence states on file: ID, OR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho