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

Mr. Derek John Carlson, RN

Individual provider Registered Nurse · NPI 1922547314

Mr. Derek John Carlson, RN is a Registered Nurse in Canandaigua, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

35 N St
Canandaigua, NY 14424-1075
Phone: (585) 394-0530
Fax: (585) 394-3872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 703439-1 (NY)

Record details

NPI number1922547314
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedFebruary 17, 2017
Last updated in NPPESFebruary 17, 2017
Mailing address2512 State Route 5 And 20, Stanley, NY 14561-9521

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