Healthcare Provider Details

I. General information

NPI: 1164326948
Provider Name (Legal Business Name): DEBORAH WIGHT CULLENS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 WHITING HILL ROAD
BREWER ME
04412
US

IV. Provider business mailing address

346 OLD COUNTY RD
HAMPDEN ME
04444-1911
US

V. Phone/Fax

Practice location:
  • Phone: 207-944-6863
  • Fax:
Mailing address:
  • Phone: 207-944-6863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP261888
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: