Healthcare Provider Details

I. General information

NPI: 1235012352
Provider Name (Legal Business Name): ADRIANE KOSKINEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 MOODY MOUNTAIN RD
SEARSMONT ME
04973-3022
US

IV. Provider business mailing address

1003 MOODY MOUNTAIN RD
SEARSMONT ME
04973-3022
US

V. Phone/Fax

Practice location:
  • Phone: 207-338-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN71961
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: