Healthcare Provider Details

I. General information

NPI: 1134875255
Provider Name (Legal Business Name): BRITTANY LYNN CASAVINA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY LYNN STACKINSKI PMHNP

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SHAPE DR
KENNEBUNK ME
04043-6601
US

IV. Provider business mailing address

3 SHAPE DR
KENNEBUNK ME
04043-6601
US

V. Phone/Fax

Practice location:
  • Phone: 207-467-8930
  • Fax:
Mailing address:
  • Phone: 207-467-8930
  • Fax: 207-985-8459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP251333
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number255794
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: