Healthcare Provider Details

I. General information

NPI: 1881861136
Provider Name (Legal Business Name): KERRI A VACHER FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 LINCOLNVILLE AVE
BELFAST ME
04915-6454
US

IV. Provider business mailing address

69 LINCOLNVILLE AVE
BELFAST ME
04915-6454
US

V. Phone/Fax

Practice location:
  • Phone: 207-322-8922
  • Fax: 833-464-3855
Mailing address:
  • Phone: 207-322-8922
  • Fax: 207-544-5156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP171054
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNP352
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: