Healthcare Provider Details

I. General information

NPI: 1417308263
Provider Name (Legal Business Name): ABBY KATHRYN AUSTIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 MEDICAL CENTER DR STE 3100
BRUNSWICK ME
04011-2672
US

IV. Provider business mailing address

121 MEDICAL CENTER DR STE 3100
BRUNSWICK ME
04011-2672
US

V. Phone/Fax

Practice location:
  • Phone: 207-729-7939
  • Fax: 207-808-7894
Mailing address:
  • Phone: 207-729-7939
  • Fax: 207-808-7894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP161065
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: