Healthcare Provider Details

I. General information

NPI: 1316792070
Provider Name (Legal Business Name): NAVIGATING WELLNESS PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 COLUMBIA ST STE 11
BANGOR ME
04401-6331
US

IV. Provider business mailing address

252 TIBBETTS RD STE B
EXETER ME
04435-3418
US

V. Phone/Fax

Practice location:
  • Phone: 407-850-8199
  • Fax: 877-284-1946
Mailing address:
  • Phone: 407-850-8199
  • Fax: 877-284-1946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RACHEL KORANSKY-MATSON
Title or Position: OWNER
Credential: APRN
Phone: 407-770-8160