Individual
REBECCA CHILDS DERHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
24 GARDINER ST, RICHMOND, ME 04357-1336
(207) 737-4359
(207) 737-4412
Mailing address
19 PLEASANT HILL RD, FREEPORT, ME 04032-6441
(207) 939-4196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN66324
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP251543
ME
Other
Enumeration date
12/27/2022
Last updated
10/01/2025
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