Healthcare Provider Details

I. General information

NPI: 1649558180
Provider Name (Legal Business Name): REBECCA J SYLVESTER MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2011
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 GLENRIDGE DR
AUGUSTA ME
04330-6606
US

IV. Provider business mailing address

111 FRANKLIN HEALTH CMNS
FARMINGTON ME
04938-6144
US

V. Phone/Fax

Practice location:
  • Phone: 207-626-6200
  • Fax:
Mailing address:
  • Phone: 207-778-6394
  • Fax: 207-778-2886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP111058
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: