Bennett-Vachon, Brenda

Bennett-Vachon, Brenda is an individual health care provider with primary practice located at 153 Woodbury Rd , Auburn ME 04210-8136. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bennett-Vachon, Brenda can be contacted via phone (207) 784-4301.

Contact Information

Primary practice address
153 Woodbury Rd Auburn ME 04210-8136
Phone: (207) 784-4301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP81162 Maine
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP081162 Maine

Profile Details

NPI number 1407904014
LBN Legal business name Bennett-Vachon, Brenda
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Dec 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407904014 NPPES
Maine MEDICAID 424300099

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