Colleen S Tetzlaff (NPI# 1710083233, PAC ID# 0648298794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1710083233 |
PAC ID by PECOS | 0648298794 |
Professional Enrollment ID | I20061228000314 |
Full Name | Colleen S Tetzlaff |
Address |
222 Auburn St Suite 102 Portland ME 04103-6005 |
Gender | F |
Credential | NP |
Graduation Year | 1997 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
200009 | MAINE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
222 Auburn St, Suite 102, Portland, ME 04103-6005 |
Street Address |
222 AUBURN ST SUITE 102 |
City | PORTLAND |
State | ME |
Zip | 04103-6005 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heidi A Heap Chester | Family Medicine | 222 Auburn St, Suite 102, Portland, ME 04103-6005 | |
Mark R Hammond | Qualified Speech Language Pathologist | Mark R Hammond Associates Inc | 222 Auburn St, Suite 1g, Portland, ME 04103-6001 |
Kelsey Ann Ketchum | Qualified Speech Language Pathologist | Mark R Hammond Associates Inc | 222 Auburn St, Suite 1g, Portland, ME 04103-6001 |
Edwin R Feintech | Psychologist, Clinical | 222 Auburn St, Suite 201, Portland, ME 04103-6004 | |
Katelyn Penna Berube | Speech Language Pathologist | Mark R Hammond Associates Inc | 222 Auburn St, Suite 1g, Portland, ME 04103-6001 |
Cristin R Scott | Audiologist | Mark R Hammond Associates Inc | 222 Auburn St, Suite 1g, Portland, ME 04103-6001 |
Maurice C Hothem | General Practice | 222 Auburn St, Portland, ME 04103-6002 | |
Gregory W Nevens | Clinical Psychologist | Gregory W. Nevens, Ed.d Pa | 222 Auburn St, Suite 102, Portland, ME 04103-6005 |
Travis R Geistert | Speech Language Pathologist | Mark R Hammond Associates Inc. | 222 Auburn St, Portland, ME 04103-6001 |
Name | Specialty | Organization | Address |
---|---|---|---|
Julia A Harre | Dermatology | 222 Augurn St, Suite 205, Portland, ME 04103 | |
Rebecca A Austerer | Physical Therapy | 512 Warren Ave, Suite 4, Portland, ME 04103-1006 | |
David C Higgins | Physical Therapy | Austerer Higgins Physical Therapy and Wellness | 512 Warren Ave, Portland, ME 04103-1006 |
Tracy E Haller | Clinical Social Worker | 741 Warren Ave, Portland, ME 04103-1007 | |
Beth L Schurman | Certified Clinical Nurse Specialist (cns) | 105 Beverly St, Portland, ME 04103-1551 | |
Maryann J Carroll | Clinical Social Worker | 25 Bedell St, Portland, ME 04103-1705 | |
Christina Ann Gitto | Maxillofacial Surgery | Maine Prosthodontics | 1250 Forest Ave, Portland, ME 04103-1884 |
Alan David Newton | Maxillofacial Surgery | Maine Prosthodontics | 1250 Forest Ave, Portland, ME 04103-1884 |
Francesco A Musciano | Maxillofacial Surgery | Maine Prosthodontics | 1250 Forest Ave, Portland, ME 04103-1884 |
Matthew J Hearst | Otolaryngology | Maine Medical Partners | 1250 Forest Ave, Portland, ME 04103-1889 |
Find all physicians in zip 04103 |
City | PORTLAND |
Zip Code | 04103 |
Specialty | NURSE PRACTITIONER |
City + Specialty | PORTLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Colleen S Tetzlaff.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.