Healthcare Provider Details

I. General information

NPI: 1447448436
Provider Name (Legal Business Name): EMILY CASHMAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY ATWOOD CNP

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 05/15/2020
Certification Date: 05/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 MAIN STREET
SACO ME
04072
US

IV. Provider business mailing address

1 MEDICAL CENTER DRIVE
BIDDEFORD ME
04005
US

V. Phone/Fax

Practice location:
  • Phone: 207-294-5600
  • Fax: 207-795-2043
Mailing address:
  • Phone: 207-283-7000
  • Fax: 207-795-2043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP081839
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP81839
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: