MRS. CRYSTAL FORTIN


Address: 15 E Chestnut St, Augusta, ME 04330-5736
Phone: 2074857328

MRS. CRYSTAL FORTIN (NPI# 1790179547) 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) 1790179547
Entity Type Individual
Full Name MRS. CRYSTAL FORTIN
Credential RN
Practice Address 15 E Chestnut St
Augusta
ME 04330-5736
Mailing Address 23 Hemlock Ridge Rd
Chelsea
ME 04330-1194
Practice Telephone 2074857328
Mailing Telephone 2074857328
Enumeration Date 2015-03-18
Last Update Date 2015-03-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
RN56346 ME Nursing Service Providers

Other Providers CRYSTAL FORTIN

NPI Name Taxonomy Address Enumeration
1013077098 Crystal Patric Fortin Social Worker 5 Commerce Dr, Skowhegan, ME 04976-4823 2006-12-11

Office Location

Street Address 15 E CHESTNUT ST
City AUGUSTA
State ME
Zip Code 04330-5736

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356348775 Carrie L. Bolander Obstetrics & Gynecology 15 E Chestnut St, Augusta, ME 04330-5736 2005-06-30
1962027334 Salam Al-omaishi Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2020-06-11
1710502182 Kevin Connolly Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2020-06-11
1215552674 Sarah Horton Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2020-06-11
1730704198 Holly Wadman Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2020-06-11
1811512288 Caitlin Bevvino-ring Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2020-06-11
1366075400 Louise Y Langlais Nurse Practitioner 15 E Chestnut St, Augusta, ME 04330-5736 2020-02-18
1710546619 Taylor Lynn Leborgne Family Medicine 15 E Chestnut St, Augusta, ME 04330-5736 2019-06-13
1356900823 Andrea Loving Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2019-06-10
1871152330 Breanna Glynn Student in an Organized Health Care Education/Training Program 15 E Chestnut St, Augusta, ME 04330-5736 2019-06-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770181877 Renewal Family Center, LLC Community/Behavioral Health 10 Learners Drive, Augusta, ME 04330 2020-10-12
1134748759 Chelsea Simone Koch Registered Nurse 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 2020-04-14
1790238442 Nicole Lacrosse Behavioral Analyst 53 Hayden Rd, Augusta, ME 04330 2016-07-29
1093176844 Richard J. Larrabee Counselor 312 Townhouse Road, Chelsea, ME 04330 2016-03-08
1376910984 Sarah C. A. Tatlock Social Worker 41 Anthony Ave, Augusta, ME 04330 2015-08-31
1457728180 Va Maine Health General Acute Care Hospital 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 2015-08-28
1043696842 Megan Arsenault Pharmacist 403 Water Street, Augusta, ME 04330 2015-08-04
1205219987 Trevor Holbert Audiologist 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 2015-06-30
1659787836 Hannah M. Pullen Occupational Therapy Assistant 12 Shuman Ave Ste 16, Augusta, ME 04330 2014-07-08
1831469899 Tanya Bernadette Quarterman Specialist 153 Hospital St Ste 13, Augusta, ME 04330 2012-01-09
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275777385 Robin Danelle Murphey Registered Nurse 1916 N Leg Rd, Augusta, GA 30909-4402 2009-04-21
1184881104 Debbie E Stanley Registered Nurse 1916 N Leg Rd, Augusta, GA 30909-4402 2008-05-19
1598935330 Kathy Ann Sundberg Registered Nurse 1916 N Leg Rd, Augusta, GA 30909-4402 2008-03-07
1770680860 Daisy H Drayton Registered Nurse 1 Freedom Way, Augusta, GA 30904-6258 2006-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750999694 Brittney Ibbitson Registered Nurse 16 Page Terrace, Hinckley, ME 04944 2020-07-16
1982837399 Rhonda B Loveitt Registered Nurse 27 Maple Ridge Rd, Gorham, ME 04038-2285 2009-09-01
1174767784 Healthy Futures, Inc Registered Nurse 72 Main St., Suite A, Winthrop, ME 04364-1406 2009-04-27
1043247828 Perry Chet Goldstein Registered Nurse 647 Us Route 1, #14149, York, ME 03909-1689 2006-06-27
1316594096 Kraig Michael Burbine Registered Nurse 118 Moosehead Trl Ste 5, Newport, ME 04953-4056 2019-08-19
1881249779 Laura Mae Bouchard Registered Nurse 50 Summer St, Millinocket, ME 04462-1400 2019-08-07
1639739139 Tammy Estabrook Acker Registered Nurse 30 Belgrade Ave Ste A, Auburn, ME 04210-4096 2019-06-17
1386201689 Nicole Marie Theriault Registered Nurse 12 Bolduc Ave, Fort Kent, ME 04743-1602 2019-05-22
1407346919 Amber D Sloat Registered Nurse 529 S Patten Rd, Patten, ME 04765-3007 2018-05-10
1063918241 Jennifer Lee Malmborg Registered Nurse 3 Mountainview Dr, Fort Kent, ME 04743-1614 2018-04-05
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Competitor

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City AUGUSTA
Zip Code 04330

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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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