Individual
REBECCA CHILDS DERHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
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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