Healthcare Provider Details

I. General information

NPI: 1437670916
Provider Name (Legal Business Name): ROBYN BIRD AGPCNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ROBYN SARIG CRNP

II. Dates (important events)

Enumeration Date: 07/05/2017
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 CENTRE ST STE 200
BATH ME
04530-2550
US

IV. Provider business mailing address

108 CENTRE ST STE 200
BATH ME
04530-2550
US

V. Phone/Fax

Practice location:
  • Phone: 207-386-1800
  • Fax: 207-517-6915
Mailing address:
  • Phone: 207-386-1800
  • Fax: 207-517-6915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP191263
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: