Healthcare Provider Details

I. General information

NPI: 1801249826
Provider Name (Legal Business Name): APRIL HERTLEIN APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 07/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 MAIN ST SUITE 2
NEWPORT ME
04953-4162
US

IV. Provider business mailing address

PO BOX J
NEWPORT ME
04953-0429
US

V. Phone/Fax

Practice location:
  • Phone: 207-368-5747
  • Fax: 207-368-5483
Mailing address:
  • Phone: 207-368-5747
  • Fax: 207-368-5483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number161074
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: