MARY E THERRIAULT (NPI# 1699716928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699716928 |
Entity Type | Individual |
Full Name | MARY E THERRIAULT |
Credential | N.P. |
Practice Address |
792 State St Bangor ME 04401-5610 |
Mailing Address |
67 Clark Hill Rd East Holden ME 04429-7248 |
Practice Telephone | 2079476508 |
Practice Fax Number | 2079418342 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2013-07-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
CNP81724 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
792 STATE ST |
City | BANGOR |
State | ME |
Zip Code | 04401-5610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205877701 | Vance A Aloupis | Legal Medicine | 792 State St, Bangor, ME 04401-5610 | 2006-06-08 |
1508263112 | Vance A. Aloupis Md Pa | Specialist | 792 State St, Bangor, ME 04401-5610 | 2014-11-25 |
1316196264 | Medlab792 | Clinical Medical Laboratory | 792 State St, Bangor, ME 04401-5610 | 2008-09-16 |
1629257159 | Vance A Aloupis Mdpa | Specialist | 792 State St, Bangor, ME 04401-5610 | 2007-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
Find all providers in zip 04401 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407974140 | Lynn I Reid | Nurse Practitioner | 100 Us Route 1, Breast Care Center, Scarborough, ME 04074-9302 | 2007-03-27 |
1407889157 | Leah Coplon | Nurse Practitioner | 527 Ocean Ave, Portland, ME 04101 | 2006-07-08 |
1689664831 | Nancy Apel Carroll | Nurse Practitioner | 778 Main St, Suite 2, South Portland, ME 04106-5447 | 2005-10-27 |
1477972354 | Ashley Pratt | Nurse Practitioner | 71 Us Route 1, Suite A, Scarborough, ME 04074-7173 | 2014-04-08 |
1154605459 | Abigail S. Butler | Nurse Practitioner | 367 Us Route 1, Falmouth, ME 04105-1350 | 2011-10-05 |
1770895187 | Back Cove Midwives | Nurse Practitioner | 527 Ocean Ave, Portland, ME 04103-4972 | 2010-07-14 |
1831375039 | Dennifer D Hardy | Nurse Practitioner | 193 Front St, Suite 5, Farmington, ME 04938-5834 | 2008-01-17 |
1154430023 | Jane G. Adams | Nurse Practitioner | 112 Sanford Rd, Suite 2a, Wells, ME 04090-5533 | 2006-08-30 |
1366475097 | Joyce Poirier | Nurse Practitioner | 195 Fore River Pkwy, Suite 440, Portland, ME 04102-2780 | 2006-07-08 |
1588642672 | Kathryn G. Booth | Nurse Practitioner | 5 Caldwell Rd, Augusta, ME 04330-5739 | 2006-01-09 |
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.