Provider Demographics
NPI:1932987542
Name:ALBRIGHT, DEREK ALEXANDER PERRY (NP)
Entity Type:Individual
Prefix:
First Name:DEREK
Middle Name:ALEXANDER PERRY
Last Name:ALBRIGHT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 BROWNS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-8714
Mailing Address - Country:US
Mailing Address - Phone:707-592-1079
Mailing Address - Fax:
Practice Address - Street 1:7201 BROWNS VALLEY RD
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-8714
Practice Address - Country:US
Practice Address - Phone:707-592-1079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026938363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily