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

Mrs. Nichole Leanne Derhake, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1174075287

Mrs. Nichole Leanne Derhake, PNP is a Pediatric Nurse Practitioner in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

1 Childrens Pl
Saint Louis, MO 63110-1002
Phone: (314) 454-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2016035217 (MO)

Record details

NPI number1174075287
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedOctober 25, 2016
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

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