NICOLE A BRZEZINSKI (NPI# 1144475781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144475781 |
| Entity Type | Individual |
| Full Name | NICOLE A BRZEZINSKI |
| Credential | PA-C |
| Practice Address |
25 June St Sanford ME 04073-2621 |
| Mailing Address |
1 Medical Center Dr Biddeford ME 04005-9422 |
| Practice Telephone | 2074903100 |
| Mailing Telephone | 2072837000 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1812 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053740 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Center Dr, Biddeford, ME 040059422 | 2072837000 |
| Street Address |
25 JUNE ST |
| City | SANFORD |
| State | ME |
| Zip Code | 04073-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609852086 | Steven Petrin | Nurse Practitioner | 25 June St, Sanford, ME 04073-2621 | 2005-12-19 |
| 1942625389 | Bridget Amanda Babcock | Nurse Practitioner | 25 June St, Behavioral Health Unit, Sanford, ME 04047 | 2014-02-21 |
| 1811289168 | Jessica Louise Peck | Emergency Medicine | 25 June St, Sanford, ME 04073-2621 | 2011-05-04 |
| 1003124348 | Sarah D. Shepherd | Neuromusculoskeletal Medicine & OMM | 25 June St, Sanford, ME 04073-2621 | 2010-09-21 |
| 1700192259 | Sandeep Reddy | Internal Medicine | 25 June St, Sanford, ME 04073-2621 | 2010-08-23 |
| 1760613129 | Lindsey D Sprague | Physician Assistant | 25 June St, Sanford, ME 04073-2621 | 2009-08-04 |
| 1487898912 | H. D. Goodall Hospital, Inc. | Custodial Care Facility | 25 June St, Sanford, ME 04073-2621 | 2009-04-28 |
| 1730323262 | H. D. Goodall Hospital Inc. | Custodial Care Facility | 25 June St, Sanford, ME 04073-2621 | 2009-04-28 |
| 1548422819 | Scott Hamilton | Emergency Medicine | 25 June St, Sanford, ME 04073-2621 | 2008-06-27 |
| 1710152491 | Terry Lacroix | Registered Nurse | 25 June St, Sanford, ME 04073-2621 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1619404860 | Matthew Jason Holt | Counselor | 469 Main Street, Suite 201, Sanford, ME 04073 | 2017-05-18 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1619231602 | Paul E. Beaudoin | Dentist | 2 Stilson Street, Sanford, ME 04073 | 2012-06-25 |
| 1730332685 | York County Community Action Corps | Case Management | 35 Island Ave., Sanford, ME 04073 | 2008-10-23 |
| 1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
| 1275742645 | Janet S Steffens | Speech-Language Pathologist | Center for Communication, 1280 Main Street, Sanford, ME 04073 | 2007-05-22 |
| 1003033358 | Lauren M Torch | Social Worker | 890 Main Street, Suite 118 Lower Midtown Mall, Sanford, ME 04073 | 2007-04-19 |
| Find all providers in zip 04073 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487024329 | Erik T Huffman | Physician Assistant | 2919 Beechtree Dr Ste 1100, Sanford, NC 27330-6934 | 2015-10-05 |
| 1619576360 | Elizabeth Parsons | Physician Assistant | 2702 Farrell Rd, Sanford, NC 27330-6505 | 2020-10-23 |
| 1053838326 | Jessica L Sinclair | Physician Assistant | 2609 S Horner Blvd, Sanford, NC 27332-8865 | 2017-08-27 |
| 1003275611 | Lindsay M Fox | Physician Assistant | 117 Dennis Drive, Sanford, NC 27330-6343 | 2016-02-11 |
| 1841612900 | Margaret Elaine Kelley | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2014-01-09 |
| 1073854659 | Anna Renee Knowles | Physician Assistant | 1139 Carthage St, Suite 101, Sanford, NC 27330-4111 | 2013-03-07 |
| 1679869366 | Mary Candace Seagle | Physician Assistant | 827 S Horner Blvd, Sanford, NC 27330-5342 | 2011-06-22 |
| 1659683167 | Britney Kline Smithmyer | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2010-07-13 |
| 1083938120 | Kristen Marie Grider | Physician Assistant | 1621 W 1st St, Sanford, FL 32771-1617 | 2010-03-18 |
| 1194950030 | Jennifer Wheeler | Physician Assistant | 1401 W Seminole Blvd, Central Florida Regional Hospital, Sanford, FL 32771-6743 | 2009-05-21 |
| Find all providers in SANFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.