Healthcare Provider Details

I. General information

NPI: 1033105135
Provider Name (Legal Business Name): CARRIE ELIZABETH LEVINE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 RIVER ROAD
NEWCASTLE ME
04553
US

IV. Provider business mailing address

608 RIVER RD
NEWCASTLE ME
04553-4011
US

V. Phone/Fax

Practice location:
  • Phone: 207-846-6163
  • Fax: 207-846-6167
Mailing address:
  • Phone: 207-563-7000
  • Fax: 207-563-7003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberR040480
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: