Active NPIIndividual provider

Rebecca Childs Derhak, FNP

Nurse Practitioner, Family in Richmond, Maine

NPI Number1588377386
Practice location
24 Gardiner St, Richmond, ME 04357-1336
Fax
207-737-4412
Last updated
October 1, 2025

Rebecca Childs Derhak is a Nurse Practitioner, Family based in Richmond, ME. Rebecca Childs Derhak practices in Richmond, ME and has the professional credentials of FNP. The NPI Number for Rebecca Childs Derhak is 1588377386 and holds a License No. RN66324 (ME). The current practice location address for Rebecca Childs Derhak is 24 Gardiner St, Richmond, ME 04357-1336 and can be reached out via phone at 207-737-4359 and via fax at 207-737-4412.

Provider Profile Details

NPI Number
1588377386
Provider Name
Rebecca Childs Derhak
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
24 Gardiner St, Richmond, ME 04357-1336
Phone Number
207-737-4359
Fax Number
207-737-4412
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 27, 2022
Last Update Date
October 1, 2025
Certification Date
October 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Gardiner St
Richmond, ME 04357-1336
State
Maine
Zip
04357-1336
Phone Number
207-737-4359
Fax Number
207-737-4412
Richmond, ME 04357Get directions →

Provider Business Mailing Address Details

Address
19 Pleasant Hill RD
Freeport, ME 04032-6441
City
Freeport
State
ME
Zip
04032-6441
Phone Number
207-939-4196

License Information

License Number (1)
RN66324
License State (1)
ME
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
CNP251543
License State (2)
ME
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca Childs Derhak, FNP?

The NPI number of Rebecca Childs Derhak, FNP is 1588377386. It was assigned on December 27, 2022 and is currently active in the NPPES registry.

What is the specialty of Rebecca Childs Derhak, FNP?

Rebecca Childs Derhak, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number RN66324.

Where does Rebecca Childs Derhak, FNP practice?

The practice location is 24 Gardiner St, Richmond, ME 04357-1336. The office can be reached at 207-737-4359 (phone) or 207-737-4412 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588377386 directly on the NPPES registry website.

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