Brenda Bennett-Vachon, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Auburn, ME
NPI 1407904014 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1407904014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP81162 (ME)
- Practice address
- 153 Woodbury Rd
Auburn, ME 04210-8136 - Phone
- (207) 784-4301
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP081162 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
| CNP81162 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP81162 | ME | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP081162 | ME |
Addresses
Primary practice location
153 Woodbury Rd
Auburn, ME 04210-8136
Mailing address
153 Woodbury Rd
Auburn, ME 04210-8136
Phone (207) 784-4301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424300099 | Medicaid | ME |
Other providers in Auburn, ME
- Danielle Casey Begert
- Caitlin Beling
- Karri Beling
- Benevolent Care LLC
- Alexandra Howell Benner-Roberts
- Eric Charles Benson
- Desiree Dawn Bernard
- Diane Florence Bernard
- John Scott Bernardy
- Better Me Nutrition Counseling LLC
All providers in Auburn, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.