VERA J KOMISARJEVSKY ACNP NPI 1194714568

NPI Information

NPI: 1194714568
Provider Name: VERA J KOMISARJEVSKY, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
93 CAMPUS AVE
LEWISTON, ME
ZIP 04240
Phone: (207) 777-8120
Get Directions

Vera J Komisarjevsky, ACNP is an acute care nurse practitioner in Lewiston, ME. Vera J Komisarjevsky, ACNP NPI is 1194714568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

93 CAMPUS AVE
LEWISTON, ME
ZIP 04240-030
Phone: (207) 777-8120
Fax: (207) 777-8984

The enumeration date for this NPI number is 10/18/2005 and was last updated on 9/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	AP101040	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q67982	MEDICARE UPIN	CALIFORNIA
2	002148503	MEDICARE PIN	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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