Healthcare Provider Details

I. General information

NPI: 1144830126
Provider Name (Legal Business Name): SARAH J SOMERS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH SOMERS FNP

II. Dates (important events)

Enumeration Date: 08/05/2020
Last Update Date: 02/24/2021
Certification Date: 02/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5721 CUTLER HEALTH CTR
ORONO ME
04469-1717
US

IV. Provider business mailing address

43 WHITING HILL RD STE 300
BREWER ME
04412-1006
US

V. Phone/Fax

Practice location:
  • Phone: 207-581-4000
  • Fax: 207-581-9512
Mailing address:
  • Phone: 207-973-5000
  • Fax: 207-973-5042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP201143
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: