Provider Demographics
NPI:1881109072
Name:TALAKSHI, DENY GRACE (CPNP-AC)
Entity type:Individual
Prefix:MRS
First Name:DENY
Middle Name:GRACE
Last Name:TALAKSHI
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 CAMPUS DRIVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074
Mailing Address - Country:US
Mailing Address - Phone:207-396-7565
Mailing Address - Fax:207-396-7577
Practice Address - Street 1:100 CAMPUS DRIVE
Practice Address - Street 2:SUITE 107
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074
Practice Address - Country:US
Practice Address - Phone:207-396-7565
Practice Address - Fax:207-396-7577
Is Sole Proprietor?:No
Enumeration Date:2017-12-10
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MECNP171184363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care