Healthcare Provider Details

I. General information

NPI: 1194499426
Provider Name (Legal Business Name): THOMAS HARRISON COTE AGPCNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2021
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 HEALTHCARE DR STE 202
BIDDEFORD ME
04005-9450
US

IV. Provider business mailing address

9 HEALTHCARE DR STE 202
BIDDEFORD ME
04005-9450
US

V. Phone/Fax

Practice location:
  • Phone: 207-283-1427
  • Fax: 207-294-3554
Mailing address:
  • Phone: 207-283-1427
  • Fax: 207-294-3554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberCNP201483
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCNP201483
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: