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VAN DUSEN MEDICALLY SUPERVISED WEIGHT LOSS LLC
NPI 1912561861
Nurse Practitioner - Family in Owls Head, ME

Active since April 25, 2019
445 ASH POINT DR, OWLS HEAD, ME 04854(207) 975-1316 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Van Dusen Medically Supervised Weight Loss Llc NPPES

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

VAN DUSEN MEDICALLY SUPERVISED WEIGHT LOSS LLC (NPI 1912561861) is a healthcare organization registered as a family in Owls Head, Maine and active in the NPI registry since April 2019. The organization lists Carmen Van Dusen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1912561861
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVAN DUSEN MEDICALLY SUPERVISED WEIGHT LOSS LLC
Location Address445 ASH POINT DROwls Head, ME 04854-3601
Mailing Address445 Ash Point DrOwls Head, ME 04854-3601 · (207) 975-1316
Phone(207) 975-1316
Organization SubpartNo
Authorized OfficialCarmen Van DusenAuthorized Official · (207) 975-1316
Enumeration DateApril 25, 2019
✔ NPI 1912561861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
445 ASH POINT DR, Owls Head, ME 04854
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Van Dusen Medically Supervised Weight Loss LLC's NPI number?

The NPI number for Van Dusen Medically Supervised Weight Loss LLC is 1912561861. It was assigned to this organization in the NPPES registry on April 25, 2019.

Where is Van Dusen Medically Supervised Weight Loss LLC located?

Van Dusen Medically Supervised Weight Loss LLC is located at 445 Ash Point Dr, Owls Head, ME 04854. The listed phone number is (207) 975-1316.

What is Van Dusen Medically Supervised Weight Loss LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Van Dusen Medically Supervised Weight Loss LLC was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.