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MS. DENISE ETHEL DERNORSEK RN, MS, APRN,BC
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1528098266
Individual Registrant:MS. DENISE ETHEL DERNORSEK RN, MS, APRN,BC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
BLDG 200 ROOM 451 1 VA CENTER TOGUS, ME 04330 US
Tel: 207-623-8411 Fax: 207-621-4816
Tel: 207-623-8411 Fax: 207-621-4816
Contact information for business:
PO BOX 577 BELGRADE LAKES, ME 04918-0577 US
Tel: 207-495-3849 Fax: --
Tel: 207-495-3849 Fax: --
Registration Information:
NPI: 1528098266
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | ME | R034081 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
