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MS. DENISE ETHEL DERNORSEK RN, MS, APRN,BC

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1528098266

Individual Registrant:
MS. DENISE ETHEL DERNORSEK RN, MS, APRN,BC
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

Contact information for business:
PO BOX 577  BELGRADE LAKES, ME 04918-0577 US
Tel: 207-495-3849  Fax: --

Registration Information:
NPI: 1528098266
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MER034081

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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