Alivia Renea Derham is a Galesburg, Illinois based nurse practitioner with 7 years of experience in . She completed her graduation in 2017. and . She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Alivia Renea Derham is 209017147 in Illinois. Her current practice location is 3375 N Seminary St, Galesburg. Patients can reach her at 309-343-5114 or can fax her at 309-343-7859. Alivia Renea Derham is APN and her NPI number (Unique professional ID assigned by NPPES) is 1386142503. Alivia Renea Derham has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Alivia Renea Derham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Alivia Renea Derham
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APN
Accepts Medicare Assignment:
May Accept
Practice Address:
3375 N Seminary St, Galesburg, Illinois, 61401-1251
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0840550695
Enrollment ID:
I20180216000026
NPI Number:
1386142503
NPI Enumeration Date:
23 Jan, 2018
NPI Last Update On:
23 Jan, 2018
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alivia Renea Derham are as mentioned below.
License Number
Specialization
State
Status
209017147
Illinois
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140064)
Galesburg, IL
Acute Care Hospital
(141318)
Monmouth, IL
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Alivia Renea Derham is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Osf Healthcare System (4284541806)
73
Osf Multi-specialty Group (3678889789)
1494
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Alivia Renea Derham 3375 N Seminary St, Galesburg, Illinois
Zip:
61401-1251
Phone Number:
309-343-5114
Fax Number:
309-343-7859
Patients can reach Alivia Renea Derham at 3375 N Seminary St, Galesburg, Illinois or can call to book an appointment on 309-343-5114.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.