Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK WAYNE FENNELL, RRT
Active Sole ProprietorRespiratory Therapist, Registered · CHINA, ME
Registration Details
- NPI Number
- 1366791121
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2012 (13.648692079346 yrs)
- Last Updated
- Sep 7, 2012
- License
-
TH1597 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
95 TARYBELU LNCHINA, ME, 043584000Browse ME providers · Browse ZIP 04358
- Phone
- 2076238411
- Primary Specialty
-
Respiratory Therapist, Registered
227900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.