MARIA DERKSEN
NPI 1669803268
Specialist in Beaver Dam, WI

Active since December 06, 2013
33 UNIVERSITY AVE, BEAVER DAM, WI 53916(920) 356-6936 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maria Derksen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA DERKSEN (NPI 1669803268) is an individual specialist in Beaver Dam, Wisconsin, licensed in Wisconsin (1671-19) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1669803268
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARIA DERKSEN
Location Address33 UNIVERSITY AVEBeaver Dam, WI 53916-8847
Mailing AddressN3901 State Road 26Waupun, WI 53963-8847
Sole ProprietorNo
Enumeration DateDecember 6, 2013
NPI 1669803268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WI · 1671-19
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

33 UNIVERSITY AVE, Beaver Dam, WI 53916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Derksen's NPI number?

The NPI number for Maria Derksen is 1669803268. It was assigned to this individual provider in the NPPES registry on December 6, 2013.

Where is Maria Derksen located?

Maria Derksen practices at 33 University Ave, Beaver Dam, WI 53916. The listed phone number is (920) 356-6936.

What is Maria Derksen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Maria Derksen was last updated on December 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.