MRS. DIANA VANDERMAST FNP NPI 1669423349

NPI Information

NPI: 1669423349
Provider Name: MRS. DIANA VANDERMAST, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
22 HALEY CT
SANGERVILLE, ME
ZIP 04479
Phone: (207) 876-4811
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MRS. Diana Vandermast, FNP is a family nurse practitioner in Sangerville, ME with 20 years of experience. MRS. Diana Vandermast, FNP NPI is 1669423349. 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:

22 HALEY CT
SANGERVILLE, ME
ZIP 04479-000
Phone: (207) 876-4811
Fax: (207) 695-2329

The NPI 1669423349 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 8/31/2015.

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	363LF0000X	Nurse Practitioner	Family	R048203	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	201826	MEDICARE OSCAR/CERTIFICATION	MAINE
2	201862	MEDICARE OSCAR/CERTIFICATION	MAINE
3	432355199	MEDICAID	MAINE
4	Q69442	MEDICARE UPIN
5	434805099	MEDICAID	MAINE
6	P00796680	OTHER	MAINE	TRAVELERS MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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