Denise Ethel Dernorsek, RN, MS, APRN,BC

Individual provider Active NPI Family Nurse Practitioner · Togus, ME

NPI 1528098266 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1528098266
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
R034081 (ME)
Practice address
BLDG 200 Room 451
1 VA Center
Togus, ME 04330
Phone
(207) 623-8411
Fax
(207) 621-4816
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science, Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R034081 ME Yes

Addresses

Primary practice location

BLDG 200 Room 451
1 VA Center
Togus, ME 04330

Mailing address

PO Box 577
Belgrade Lakes, ME 04918-0577
Phone (207) 495-3849

Other providers in Togus, ME

All providers in Togus, ME · Family Nurse Practitioner in Maine

Sources for this page

Verify at the official NPI Registry.