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

Marisa Leigh Derrick, CRNA

Individual provider Registered Nurse · NPI 1255802765

Marisa Leigh Derrick, CRNA is a Registered Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2172
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704296535 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704296535 (MI)

Record details

NPI number1255802765
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 10, 2018
Last updated in NPPESDecember 10, 2018

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