BRANDI WALSTON (NPI# 1275518052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275518052 |
Entity Type | Individual |
Full Name | BRANDI WALSTON |
Credential | APRNCS |
Practice Address |
136 Mill St Princeton ME 04668-3344 |
Practice Telephone | 2077965503 |
Practice Fax Number | 2077965528 |
Mailing Telephone | 2077965503 |
Mailing Fax Number | 2077965528 |
Enumeration Date | 2005-12-14 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
R041584 | ME | Nursing Service Providers |
Street Address |
136 MILL ST |
City | PRINCETON |
State | ME |
Zip Code | 04668-3344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831174614 | St Croix Regional Family Health Center | Clinic/Center | 136 Mill St, Princeton, ME 04668-3344 | 2005-12-14 |
1780283432 | Malinda Helen Mcevoy | Nurse Practitioner | 136 Mill St, Princeton, ME 04668-3344 | 2020-10-23 |
1710456439 | Phylicia Joanne Bonavida | Nurse Practitioner | 136 Mill St, Princeton, ME 04668-3344 | 2018-11-26 |
1952826042 | Beth Ingersoll | Registered Nurse | 136 Mill St, Princeton, ME 04668-3344 | 2017-08-09 |
1457724148 | Janice Marie Small | Nurse Practitioner | 136 Mill St, Princeton, ME 04668-3344 | 2015-11-04 |
1457795007 | Paulette M Gillespie | Licensed Practical Nurse | 136 Mill St, Princeton, ME 04668-3344 | 2013-04-25 |
1811235732 | Christine M Morris | Social Worker | 136 Mill St, Princeton, ME 04668-3344 | 2013-01-28 |
1356687040 | Jonathan Adam Dudek | Psychologist | 136 Mill St, Princeton, ME 04668-3344 | 2012-12-27 |
1457336224 | Sally Johnson | Nurse Practitioner | 136 Mill St, Princeton, ME 04668-3344 | 2005-12-14 |
1336124114 | Christine White | Psychiatry & Neurology | 136 Mill St, Princeton, ME 04668-3344 | 2005-12-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740500255 | Jessica N Caraballo | Counselor | 401 Peter Dana Point Rd, Princeton, ME 04668 | 2010-06-07 |
1346363009 | Indian Township Tribal Government | Ambulance | 443 Us Route 1, Princeton, ME 04668 | 2007-04-09 |
1689747479 | Patricia Jean Todd-lewis | Social Worker | 1 Newell Drive, Princeton, ME 04668 | 2006-11-17 |
1043382658 | Mary C Repole | Dental Hygienist | 401 Peter Dana Point Rd., Princeton, ME 04668 | 2006-11-15 |
1033281563 | Dana Anthony Johnson | Dentist | 401 Peter Dana Point Road, Princeton, ME 04668 | 2006-11-13 |
1013096627 | Truman L Gillette | Pharmacist | 401 Peter Dana Point, Princeton, ME 04668 | 2006-11-03 |
1689187544 | Carol Francis | Registered Nurse | 401 Peter Dana Point Road, Princeton, ME 04668 | 2017-11-14 |
1831548437 | Merlin J Francis | Nurse Practitioner | 401 Peter Dana Point Road, Princeton, ME 04668 | 2016-06-06 |
1083058044 | Barbara Elizabeth Whipple | Counselor | 401 Peter Dana Point Road, Indian Township, ME 04668 | 2013-04-22 |
1285868042 | Heather Lane Harriman | Dental Hygienist | 401 Peter Dana Point Road, Princeton, ME 04668 | 2009-05-08 |
Find all providers in zip 04668 |
Taxonomy Code | 163WP0807X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Child & Adolescent |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821306093 | Jacquelin M Lovering | Registered Nurse | 730 Plains Rd, Mount Vernon, ME 04352-3837 | 2010-09-21 |
1487827309 | Susan Tully-young | Registered Nurse | 16 Saunders Way, Westbrook, ME 04092-4833 | 2008-04-11 |
1962581264 | Catherine A Lorello-snow | Registered Nurse | 477 Congress St Ste 408, Portland, ME 04101-3431 | 2006-11-06 |
1073997276 | Jeffrey Cole | Registered Nurse | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2015-07-17 |
1053550038 | Lynne Signore | Registered Nurse | 474 Main St, Springvale, ME 04083-1409 | 2009-02-13 |
1346486214 | Sarah H Clark | Registered Nurse | 1155 Lisbon St, Lewiston, ME 04240-5025 | 2008-12-26 |
1093855207 | Sally L. Larrabee | Registered Nurse | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2007-02-07 |
1922180702 | Sally Carlisle | Registered Nurse | 42 Cedar St, Bangor, ME 04401-6433 | 2006-10-20 |
1558459909 | Sandra L Whittier | Registered Nurse | 23 Oak St, Rockland, ME 04841-2812 | 2006-10-11 |
1063508422 | Nancy Haviland | Registered Nurse | 12 Union St, Rockland, ME 04841-2739 | 2006-10-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on BRANDI WALSTON.
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.