Healthcare Provider Details

I. General information

NPI: 1346422193
Provider Name (Legal Business Name): CHRISTY L. MADORE NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 US ROUTE 1
SCARBOROUGH ME
04074-9052
US

IV. Provider business mailing address

PO BOX 9746
PORTLAND ME
04104-5040
US

V. Phone/Fax

Practice location:
  • Phone: 207-799-8596
  • Fax: 207-799-1730
Mailing address:
  • Phone: 207-791-3888
  • Fax: 207-253-6230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP81886
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: