Healthcare Provider Details

I. General information

NPI: 1922051903
Provider Name (Legal Business Name): ZOE ROBBINS TENNEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ZOE ROBBINS FNP

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 05/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 WATER ST
BLUE HILL ME
04614
US

IV. Provider business mailing address

57 WATER STREET
BLUE HILL ME
04614
US

V. Phone/Fax

Practice location:
  • Phone: 207-374-2311
  • Fax: 207-374-3991
Mailing address:
  • Phone: 207-374-2311
  • Fax: 207-374-3991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP81298
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN46564
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: