Mary K Derlacki
FNP | Nurse Practitioner - Family
2800 W Overland Rd, Boise
Idaho, 83705-3038
208-801-1414
Mary K Derlacki is a Boise, Idaho based nurse practitioner who is specialized as Family nurse. Active license number of Mary K Derlacki is 090006104N1 for Nurse Practitioner in Oregon. Her current practice location is 2800 W Overland Rd, Boise. Patients can reach her at 208-801-1414 or can fax her at 208-207-2866. Mary K Derlacki is FNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1609947431.
Mary K Derlacki delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mary K Derlacki speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary K Derlacki |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | FNP |
| Practice Address: | 2800 W Overland Rd, Boise,
Idaho, 83705-3038 |
| Phone: | 208-801-1414 |
| Fax: | 208-207-2866 |
Professional Identification Codes:
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.
| NPI Number: | 1609947431 |
| NPI Enumeration Date: | 13 Nov, 2006 |
| NPI Last Update On: | 17 Oct, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary K Derlacki are as mentioned below.
| License Number | Specialization | State | Status | |
| 090006104N1 | Nurse Practitioner | Oregon | Primary | |
| 69483 | Family | Idaho | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary K Derlacki such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 005785 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary K Derlacki
1707 N 19th St,
Boise, Idaho |
| Zip: | 83702-0706 |
| Phone Number: | 541-232-6732 |
Patients can reach Mary K Derlacki at
2800 W Overland Rd, Boise, Idaho or can
call to book an appointment on 208-801-1414.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.