Nicole Marie Long (NPI# 1184100067, PAC ID# 6406194505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184100067 |
| PAC ID by PECOS | 6406194505 |
| Professional Enrollment ID | I20190905002965 |
| Full Name | Nicole Marie Long |
| Organization Legal Name | KATAHDIN VALLEY HEALTH CENTER |
| Address |
59 Bangor St Houlton ME 04730-1740 |
| Phone Number | 2075282285 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4880659903 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 59 Bangor St, Houlton, ME 04730-1740 | 2075282285 | KATAHDIN VALLEY HEALTH CENTER |
| 30 Houlton St, Patten, ME 04765-3035 | 2075282285 | KATAHDIN VALLEY HEALTH CENTER |
| Organization Legal Name | KATAHDIN VALLEY HEALTH CENTER |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ross A Levesque | Physical Therapy | Katahdin Valley Health Center | 529 S Patten Rd, Patten, ME 04765-3007 |
| Richard T Chin | Optometry | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Danhong Zhao | Psychiatry | Katahdin Valley Health Center | 180 Main Rd, Brownville, ME 04414-3107 |
| Jaymie F St. Peter | Nurse Practitioner | Katahdin Valley Health Center | 33 Walker St, Ashland, ME 04732-3429 |
| Henry J Roy Iii | Internal Medicine | Katahdin Valley Health Center | 50 Summer St, Millinocket, ME 04462-1400 |
| Nicki Larrabee | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Jean M Hamlin | Family Medicine | Katahdin Valley Health Center | 180 Main Rd, Brownville, ME 04414-3107 |
| Lee M Malvin | Clinical Social Worker | Katahdin Valley Health Center | 50 Summer St, Millinocket, ME 04462-1400 |
| Porsche D.a Holcomb | Clinical Social Worker | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Lisa Nielsen | Family Medicine | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Street Address |
59 BANGOR ST |
| City | HOULTON |
| State | ME |
| Zip | 04730-1740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicki Larrabee | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Lisa Nielsen | Family Medicine | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Robert Lemoine | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Mari-anne Rivera | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Martha D Stewart | Family Medicine | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Joan L Haines | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Franklin V Thompson | Clinical Psychologist | 2 Water St, Suite 8, Houlton, ME 04730-0957 | |
| Amie J Belyea | Physical Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Kiley L Henderson | Occupational Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Ryan Jj Thurston | Occupational Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Peter J Madore | Physical Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Amanda N Saucier | Physical Therapy | County Physical Therapy LLC | 98 Bangor St, Suite A, Houlton, ME 04730-1642 |
| Jessica M Philbrook | Optometry | 29 Military St B, Houlton, ME 04730-1713 | |
| Chester Husted | Orthopedic Surgery | 22 Hartford St, Suite 400, Houlton, ME 04730-1853 | |
| Suzanne Costallos | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 11 Mill St, Houlton, ME 04730-1877 |
| David L Goodrich | Clinical Social Worker | Aroostook Mental Health Services, Inc. | 11 Mill St, Houlton, ME 04730-1877 |
| Find all physicians in zip 04730 | |||
| City | HOULTON |
| Zip Code | 04730 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOULTON + NURSE PRACTITIONER |
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| 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.