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NPI Code Detail

MEDICARE: ROBYN BIRD FNP-C

MEDICARE: ROBYN BIRD FNP-C
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 PractitionerCNP191263ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CNP191263OTHERMESTATE LICENSE

General Provider Information

NPI Number : 1437670916
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN BIRD FNP-C
Provider Business Mailing Address
First Line : 360 US HIGHWAY 1 BYP UNIT 102
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-7105
Country : US
Telephone Number : 603-410-6700
Fax Number : 603-319-8308
Provider Business Practice Location Address
First Line : 193 BATH RD
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-2607
Country : US
Telephone Number : 207-424-2272
Fax Number : 717-735-9938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2017
Last Update Date : 11/14/2023

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