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NPI Code Detail

MEDICARE: VICKY GERSTENBERGER RN

MEDICARE: VICKY GERSTENBERGER RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseRN47412ME

General Provider Information

NPI Number : 1871341537
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKY GERSTENBERGER RN
Provider Business Mailing Address
First Line : 129 SEAMON RD
Second Line :
City : FARMINGTON
State : ME
Zip : 04938-6336
Country : US
Telephone Number : 207-778-3561
Fax Number : 207-778-3564
Provider Business Practice Location Address
First Line : 129 SEAMON RD
Second Line :
City : FARMINGTON
State : ME
Zip : 04938-6336
Country : US
Telephone Number : 207-778-3561
Fax Number : 207-778-3564
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2024
Last Update Date : 05/08/2024

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