Healthcare Provider Details

I. General information

NPI: 1821079252
Provider Name (Legal Business Name): DORIS D SOLMITZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 ARSENAL STREET 11 SHS
AUGUSTA ME
04333-0011
US

IV. Provider business mailing address

PO BOX 355
READFIELD ME
04355-0355
US

V. Phone/Fax

Practice location:
  • Phone: 207-624-4717
  • Fax: 207-287-6123
Mailing address:
  • Phone: 207-685-9323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR019850
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: