NPI 1437839560

Elizabeth Derhak, LPN

Practitioner Licensed Practical Nurse Portland, ME

Practice location

Address: 934 Congress St, Portland, ME 04102-3032
Phone: (207) 874-2141
Mailing address: 180 Park Ave, Portland, ME 04102-2957

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN12298 (ME)

Other Licensed Practical Nurse providers in Maine →

Registry record

NPI: 1437839560
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2023
Record last updated: 24 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.