PATRICIA A FAIRALL (NPI# 1669411641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669411641 |
| Entity Type | Individual |
| Full Name | PATRICIA A FAIRALL |
| Credential | NP |
| Practice Address |
886 Main St Sanford ME 04073-7008 |
| Mailing Address |
20 Harris Ave Hampton Beach NH 03842-3254 |
| Practice Telephone | 2073249385 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0368642304 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
886 MAIN ST |
| City | SANFORD |
| State | ME |
| Zip Code | 04073-7008 |
| 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 | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760875124 | Theresa Laura Mantle | Nurse Practitioner | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2015-03-10 |
| 1003051418 | Molly Jean Crossman | Nurse Practitioner | 1140 Carthage St, Sanford, NC 27330-4161 | 2008-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760739650 | Yanghee Courbron | Nurse Practitioner | 100 Brickhill Ave Ste 203, South Portland, ME 04106-1999 | 2012-08-09 |
| 1215216643 | Sarah Jane Norris | Nurse Practitioner | 29 City Point Rd, Peaks Island, ME 04108-1161 | 2011-08-16 |
| 1730485483 | Amber Lynn Berube | Nurse Practitioner | 31 Crossridge Dr, Windham, ME 04062-5568 | 2011-01-27 |
| 1982837019 | Bronwyn Elizabeth Sewell | Nurse Practitioner | 443 Congress St Fl 2, Portland, ME 04101-3531 | 2009-08-24 |
| 1164632014 | Margaret Anna Mcgalliard | Nurse Practitioner | 12 Stillwater Ave Ste 1, Bangor, ME 04401-3984 | 2007-05-22 |
| 1720106362 | Kennebec Valley Community Action Program | Nurse Practitioner | 101 Water St, Suite 204, Waterville, ME 04901-6339 | 2007-03-26 |
| 1063563310 | Bonnie L Clark | Nurse Practitioner | 5 Silver Rdg, Veazie, ME 04401-7086 | 2007-01-15 |
| 1538245097 | Christina Rose Theriault | Nurse Practitioner | 139 Market St, Fort Kent, ME 04743-1410 | 2006-10-27 |
| 1144320300 | Jessie M. Reighley | Nurse Practitioner | 3 Marina Rd, Yarmouth, ME 04096-6783 | 2006-09-25 |
| 1497780613 | Susan E Eastler | Nurse Practitioner | 200 Livermore Falls Rd, Farmington, ME 04938-6244 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
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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.