Healthcare Provider Details

I. General information

NPI: 1811842560
Provider Name (Legal Business Name): LEAH K HODSDON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UPPER HILL RD
MEXICO ME
04257-1825
US

IV. Provider business mailing address

2 UPPER HILL RD
MEXICO ME
04257-1825
US

V. Phone/Fax

Practice location:
  • Phone: 207-369-1000
  • Fax:
Mailing address:
  • Phone: 207-369-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN90169
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: