MRS. CLANCY ERICKSON


Address: 22 Bramhall St, Portland, ME 04102-3134
Phone: 2076620111

MRS. CLANCY ERICKSON (NPI# 1821503129) 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) 1821503129
Entity Type Individual
Full Name MRS. CLANCY ERICKSON
Credential AGACNP
Practice Address 22 Bramhall St
Portland
ME 04102-3134
Practice Telephone 2076620111
Mailing Telephone 2076620111
Enumeration Date 2017-12-08
Last Update Date 2017-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
CNP171179 ME Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 22 BRAMHALL ST
City PORTLAND
State ME
Zip Code 04102-3134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386641355 Suzanne Maynard Specialist 22 Bramhall St, Dept of Anesthesiology, Portland, ME 04102 2005-07-05
1902406135 Barbara Lewis-armstrong Social Worker 22 Bramhall St, Portland, ME 04102-3175 2020-10-27
1285231217 Malia Haddock Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-10-02
1972118222 Morgan O'brien Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-09-14
1295349900 Natalie Margaret Petrone Occupational Therapist 22 Bramhall St, Portland, ME 04102-3175 2020-09-01
1467065565 Mandi Ann Horwath Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-08-28
1922610492 Diana Christine Hubbell Registered Nurse 22 Bramhall St, Portland, ME 04102-3134 2020-08-17
1790393023 Rami Waked Student in an Organized Health Care Education/Training Program 22 Bramhall St, Portland, ME 04102-3134 2020-07-22
1871117143 Lesley Raley Pharmacist 22 Bramhall St, Portland, ME 04102-3134 2020-06-03
1023638707 Rebecca Naomi Glass Physical Therapist 22 Bramhall St, Portland, ME 04102-3134 2020-04-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588136295 Tao Wang Nurse Practitioner 38 Michele Dr, Portland, CT 06480-1013 2018-12-19
1679041115 Kendra Kathryn Mundstock Nurse Practitioner 3181 Sw Sam Jackson Park Rd # 13k, Portland, OR 97239-3011 2018-11-02
1043786551 Lindsey Forleo Nurse Practitioner 22 Bramhall St Rm 4670, Portland, ME 04102-3134 2018-10-23
1659801785 Christine Haboush Nurse Practitioner 6015 Ne Skidmore St, Portland, OR 97218-2225 2017-06-12
1386042315 Jessica Mayer Nurse Practitioner 122 Se 80th Ave, Portland, OR 97215-1522 2014-12-08
1376814095 Paula Claire Havelin Nurse Practitioner 235 Highway 52 W, Portland, TN 37148-1407 2012-01-26
1417284175 Derek Neil Bowers Nurse Practitioner 2836 Ne Bryce St, Portland, OR 97212-1640 2009-11-17
1982820692 Hilary Anne Shreves Nurse Practitioner 3303 Sw Bond Ave Ste 10, Portland, OR 97239-4501 2007-04-18
1588691117 Emily Tidwell Nurse Practitioner 421 N Broadway, Portland, TN 37148-1750 2006-06-27
1639174287 Dawn F. Tilgner Nurse Practitioner 3303 Sw Bond Ave, Portland, OR 97239-4501 2005-06-19
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Competitor

Search similar providers

City PORTLAND
Zip Code 04102

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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