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Contact Information

REBECCA CHILDS DERHAK, FNP
24 GARDINER ST
RICHMOND, ME04357-1336
 Phone: 207-737-4359
 Fax: 207-737-4412
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for REBECCA CHILDS DERHAK · (Female)

NPI # 1588377386
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 12/27/2022
Last updated 10/01/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • ME License # CNP251543
  • ME License # RN66324
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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