Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Glen Osoup

Individual provider Case Manager/Care Coordinator · NPI 1629830625

Derrick Glen Osoup is a Case Manager/Care Coordinator in Petersburg, Alaska. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

100 Fram St
Petersburg, AK 99833
Phone: (907) 772-4963
Fax: (907) 874-5190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1629830625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 22, 2024
Mailing addressPo Box 433, Petersburg, AK 99833-0433

Other providers in Petersburg