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NPI Code Detail

MEDICARE: NICOLE SAWYER APRN-CNP

MEDICARE: NICOLE SAWYER APRN-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerCNP141118ME
2363LP0808XPsychiatric/Mental Health Nurse PractitionerCNP141118ME

General Provider Information

NPI Number : 1275931388
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SAWYER APRN-CNP
Provider Business Mailing Address
First Line : 63 BUCK ST
Second Line :
City : GORHAM
State : ME
Zip : 04038-2290
Country : US
Telephone Number : 207-241-4569
Fax Number : 207-367-1320
Provider Business Practice Location Address
First Line : 28 STATE ST STE 5
Second Line :
City : GORHAM
State : ME
Zip : 04038-1147
Country : US
Telephone Number : 207-241-4569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2014
Last Update Date : 12/13/2023

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Directions to “ NICOLE SAWYER APRN-CNP” Practice Location

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