Healthcare Provider Details

I. General information

NPI: 1356680318
Provider Name (Legal Business Name): ELIZABETH M GETCHELL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2013
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 LIBERTY DR
HERMON ME
04401-1130
US

IV. Provider business mailing address

17 LIBERTY DR
HERMON ME
04401-1130
US

V. Phone/Fax

Practice location:
  • Phone: 207-742-8444
  • Fax: 207-654-6431
Mailing address:
  • Phone: 207-742-8444
  • Fax: 207-656-6431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA1380
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: