Healthcare Provider Details

I. General information

NPI: 1295611465
Provider Name (Legal Business Name): PAIGE ELIZABETH LEWICKI DNP, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 CAMPUS AVE
LEWISTON ME
04240-6030
US

IV. Provider business mailing address

93 CAMPUS AVE
LEWISTON ME
04240-6030
US

V. Phone/Fax

Practice location:
  • Phone: 207-777-8100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberCNP251015
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: