Healthcare Provider Details

I. General information

NPI: 1902006851
Provider Name (Legal Business Name): HEIDI TOEWS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 11/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 HIGH ST SUITE 301
LEWISTON ME
04240-7634
US

IV. Provider business mailing address

12 HIGH ST SUITE 301
LEWISTON ME
04240-7634
US

V. Phone/Fax

Practice location:
  • Phone: 207-795-5730
  • Fax: 207-795-5749
Mailing address:
  • Phone: 207-795-5730
  • Fax: 207-795-5749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR043835
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: