Healthcare Provider Details

I. General information

NPI: 1891591434
Provider Name (Legal Business Name): PAIGE M DUNN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 BROADWAY
BANGOR ME
04401-3337
US

IV. Provider business mailing address

360 US 1 HIGHWAY BYP UNIT 102
PORTSMOUTH NH
03801
US

V. Phone/Fax

Practice location:
  • Phone: 207-922-1300
  • Fax: 207-217-6742
Mailing address:
  • Phone: 603-410-6700
  • Fax: 603-319-8308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP251053
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCNP251053
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: