Chelsia Danielle Derenard, CNP
Nurse Practitioner, Family in Avon, OH. Individual provider (NPI-1).
NPI number1972008662
StatusActive
Last updated in NPPESMar 26, 2018
Details
- NPI
- 1972008662
- Entity type
- Individual (NPI-1)
- Name
- Chelsia Danielle Derenard
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2018
- Last updated
- Mar 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.022549 | OH | Yes |
Practice location
1480 Center RdAvon, OH 44011-1239
Phone 440-937-4600
Mailing address
237 Butternut LnBerea, OH 44017-1359
Phone 330-323-2098
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