Miss Kati M Derevere, PMHNP
Nurse Practitioner, Psych/Mental Health in Mount Desert, Maine
1861770166- Practice location
- 1049 Main Street, Unit 2S, Mount Desert, ME 04660
- Phone
- 207-244-4111
- Fax
- 207-244-4114
- Last updated
- December 16, 2014
Kati M Derevere is a Nurse Practitioner, Psych/Mental Health based in Mount Desert, ME. Kati M Derevere practices in Mount Desert, ME and has the professional credentials of PMHNP. The NPI Number for Kati M Derevere is 1861770166 and holds a License No. RO49940 (ME). The current practice location address for Kati M Derevere is 1049 Main Street, Unit 2S, Mount Desert, ME 04660 and can be reached out via phone at 207-244-4111 and via fax at 207-244-4114.
Provider Profile Details
- NPI Number
- 1861770166
- Provider Name
- Kati M Derevere
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1049 Main Street, Unit 2S, Mount Desert, ME 04660
- Phone Number
- 207-244-4111
- Fax Number
- 207-244-4114
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 3, 2011
- Last Update Date
- December 16, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1049 Main Street
Unit 2S
Mount Desert, ME 04660 - City
- Mount Desert
- State
- Maine
- Zip
- 04660
- Phone Number
- 207-244-4111
- Fax Number
- 207-244-4114
Provider Business Mailing Address Details
- Address
- Po Box 687
Mount Desert, ME 04660-0687 - City
- Mount Desert
- State
- ME
- Zip
- 04660-0687
- Phone Number
- 207-244-4111
- Fax Number
- 207-244-4114
License Information
- License Number (1)
- RO49940
- License State (1)
- ME
- Taxonomy (1)
- Registered Nurse, Psych/Mental Health · 163WP0808X
- License Number (2)
- CNP111084
- License State (2)
- ME
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Miss Kati M Derevere, PMHNP?
The NPI number of Miss Kati M Derevere, PMHNP is 1861770166. It was assigned on August 3, 2011 and is currently active in the NPPES registry.
What is the specialty of Miss Kati M Derevere, PMHNP?
Miss Kati M Derevere, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in ME under license number RO49940.
Where does Miss Kati M Derevere, PMHNP practice?
The practice location is 1049 Main Street, Unit 2S, Mount Desert, ME 04660. The office can be reached at 207-244-4111 (phone) or 207-244-4114 (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 1861770166 directly on the NPPES registry website.