Healthcare Provider Details

I. General information

NPI: 1457018939
Provider Name (Legal Business Name): HELEN MARY COHEN WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PROFESSIONAL DR STE 2B
SCARBOROUGH ME
04074-8897
US

IV. Provider business mailing address

300 PROFESSIONAL DR STE 2B
SCARBOROUGH ME
04074-8897
US

V. Phone/Fax

Practice location:
  • Phone: 207-761-1502
  • Fax: 207-774-2015
Mailing address:
  • Phone: 207-761-1502
  • Fax: 207-774-2015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCNP251631
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberCNP251631
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberLH-0010254
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0068756
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: