Healthcare Provider Details

I. General information

NPI: 1811800238
Provider Name (Legal Business Name): DIGNITY HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 BARNFIELD LN
GORHAM ME
04038-1876
US

IV. Provider business mailing address

42 BARNFIELD LN
GORHAM ME
04038-1876
US

V. Phone/Fax

Practice location:
  • Phone: 207-553-0825
  • Fax:
Mailing address:
  • Phone: 207-553-0825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ATIENZA
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 207-553-0825