RENEE S FAGONE


Address: 12 High St, Suite 400, Lewiston, ME 04240-7676
Phone: 2077955700

RENEE S FAGONE (NPI# 1164653879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164653879
Entity Type Individual
Full Name RENEE S FAGONE
Credential NP
Practice Address 12 High St
Suite 400
Lewiston
ME 04240-7676
Practice Telephone 2077955700
Practice Fax Number 2077955727
Mailing Telephone 2077955700
Mailing Fax Number 2077955727
Enumeration Date 2009-07-29
Last Update Date 2017-05-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
CNP91032 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12 HIGH ST
SUITE 400
City LEWISTON
State ME
Zip Code 04240-7676

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205838570 David Clark Caldwell Internal Medicine 12 High St, Ste 205, Lewiston, ME 04240-7676 2005-06-01
1750991014 Kayla Ann Harris Pharmacist 12 High St, Lewiston, ME 04240-7676 2020-08-03
1063046597 Angelica Leah Estes-lebrun Nurse Practitioner 12 High St, Lewiston, ME 04240-7676 2020-02-24
1154988046 Joseph Renda IIi Pharmacist 12 High St, Lewiston, ME 04240-7676 2019-05-26
1750862769 Alex Beggs Internal Medicine 12 High St, Lewiston, ME 04240-7676 2018-08-27
1912488149 Jared J Morin Nurse Practitioner 12 High St, Lewiston, ME 04240-7676 2018-08-26
1194201988 Kaitlyn Bernard Pharmacist 12 High St, Lewiston, ME 04240-7676 2018-07-14
1801347604 Jennifer-lynn Flynn Nurse Practitioner 12 High St, Suite 301, Lewiston, ME 04240-7676 2016-10-18
1578916706 Jeffrey Robertson Pharmacist 12 High St, Lewiston, ME 04240-7676 2016-07-23
1962854786 Brianna Boutin Nurse Practitioner 12 High St, Suite 301, Lewiston, ME 04240-7676 2016-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773882 Hannah Page Guerrette Speech-Language Pathologist 2 Strawberry Ave, Lewiston, ME 04240 2020-09-03
1497392500 Samuel C Larouche Social Worker 100 Campus Ave Stes A&b, Lewiston, ME 04240 2019-12-09
1972145019 Pomarand Behavioral Services Nurse Practitioner 217 Main St., Suite 201, Lewiston, ME 04240 2019-10-10
1396248258 William Bucklin Counselor 17 Main St Fl 2, Lewiston, ME 04240 2018-03-16
1548769524 Kevin Ryan Physician Assistant 12 High Street Suite 102, Lewiston, ME 04240 2018-02-06
1033637673 Wellness Center Clinic/Center 37 Park Street, Suite 305, Lewiston, ME 04240 2017-09-04
1710404561 Colasante Chiropractic, LLC Clinic/Center 184 Webster Street, #100, Lewiston, ME 04240 2017-08-23
1609398544 Lindsey Laforge Occupational Therapist 984 1/2 Sabattus Street, Lewiston, ME 04240 2017-07-12
1861922478 Seth Toothaker Counselor 1190 Lisbon Street, Lewiston, ME 04240 2017-06-15
1861850828 Black Bear Support Services, LLC Community/Behavioral Health 571 Sabattus Street, Suite 15, Lewiston, ME 04240 2016-02-05
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891933677 Sarah Katherine Adams Nurse Practitioner 99 Campus Ave Ste 201, Lewiston, ME 04240-6045 2009-02-02
1407049745 Noelle Suzanne Lohr Nurse Practitioner 710 Seneca St, Lewiston, NY 14092-1719 2007-08-21
1710534169 Catherine Salk Nurse Practitioner 287 Main St Ste 404, Lewiston, ME 04240-7056 2019-08-21
1295248029 Robert Byron Curtis Nurse Practitioner 33 Roger St, Lewiston, ME 04240-3328 2017-11-15
1982093613 Sarah Menke Nurse Practitioner 12 High St, Lewiston, ME 04240-7676 2015-01-19
1417372335 Virginia Shaw Coleman Nurse Practitioner 93 Campus Ave, Lewiston, ME 04240 2014-02-28
1972800431 Giovanna Plouffe Nurse Practitioner 5320 Military Rd, Suite 105, Lewiston, NY 14092-2149 2011-02-18
1447408760 Rosa L Hamilton Nurse Practitioner 287 Main St, Ste. 404, Lewiston, ME 04240-7054 2008-08-28
1033382809 Stacy Jean Neiswonger Nurse Practitioner 5300 Military Rd, Lewiston, NY 14092-1903 2008-04-11
1205009776 Caitlin Elizabeth Briggs Nurse Practitioner 5300 Military Road, Mt. St. Mary's Hospital Department of Cardiology, Lewiston, NY 14092 2008-04-07
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Competitor

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City LEWISTON
Zip Code 04240

Improve Information

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Dataset Information

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.

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