MARIA DERKSEN NPI 1669803268

NPI Information

  • NPI: 1669803268
  • Provider Name: MARIA DERKSEN
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 33 UNIVERSITY AVE
    BEAVER DAM, WI
    ZIP 53916
  • Phone: (920) 356-6936

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NPI Details

Maria Derksen is a specialist in Beaver Dam, WI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Maria Derksen NPI is 1669803268. 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:

33 UNIVERSITY AVE
BEAVER DAM, WI
ZIP 53916-847
Phone: (920) 356-6936

The enumeration date for this NPI number is 12/6/2013 and was last updated on 12/6/2013.

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
1174400000XSpecialist1671-19WISCONSINYes

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: 11/21/2025

NPI Synchronization or Removal

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