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NPI Code Detail

MEDICARE: ALISON LYN PAINE AGACNP

MEDICARE: ALISON LYN PAINE AGACNP
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
1363LA2100XAcute Care Nurse PractitionerCNP251915ME

General Provider Information

NPI Number : 1770417354
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON LYN PAINE AGACNP
Provider Business Mailing Address
First Line : 265 KNOWLES RD
Second Line :
City : BELGRADE
State : ME
Zip : 04917-3903
Country : US
Telephone Number : 207-576-9965
Fax Number :
Provider Business Practice Location Address
First Line : 300 MAIN ST
Second Line :
City : LEWISTON
State : ME
Zip : 04240-7041
Country : US
Telephone Number : 207-576-9965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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