Mary K Derlacki is a Boise, Idaho based rheumatologist who is specialized in Rheumatology. Active license number of Mary K Derlacki for Rheumatology is 090006104N1 in Oregon.
Mary K Derlacki treat joint disease similar to orthopedists but do not perform surgeries. She diagnose and treat diseases of joints, muscle, bones and tendons which includes arthritis, back pain, muscle strains, common athletic injuries and 'collagen' diseases.
Complete Profile:
Mary K Derlacki speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Rheumatology |
| Credentials: | FNP |
| Gender: | Female |
| Practice Address: | 2800 W Overland Rd, Boise,
Idaho, 83705-3038 |
| Phone: | 208-801-1414 |
| Fax: | 208-207-2866 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1609947431 |
| NPI Enumeration Date: | 13 Nov, 2006 |
| NPI Last Update On: | 17 Oct, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary K Derlacki are as mentioned below.
| License Number | Specialization | State | Status | |
| 090006104N1 | Rheumatologist | Oregon | Primary | |
| 69483 | Nurse Practitioner | Idaho | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary K Derlacki such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 005785 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1707 N 19th St,
Boise, Idaho |
| Zip: | 83702-0706 |
| Phone Number: | 541-232-6732 |
Patients can reach Mary K Derlacki at
2800 W Overland Rd, Boise, Idaho or can
call to book an appointment on 208-801-1414.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.