MEDICARE: JULIE-ANNE NOLIN PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	CNP191286	ME

General Provider Information

NPI Number	:	1821637729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE-ANNE NOLIN PMHNP

Provider Business Mailing Address
First Line	:	178 COURT ST STE 204
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-6917
Country	:	US
Telephone Number	:	207-531-0960
Fax Number	:

Provider Business Practice Location Address
First Line	:	178 COURT ST STE 204
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-6917
Country	:	US
Telephone Number	:	207-531-0960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2019
Last Update Date	:	04/17/2026

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