Healthcare Provider Details

I. General information

NPI: 1396779757
Provider Name (Legal Business Name): TERESA WEEKS SIROIS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA MARIE WEEKS FNP

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 TOPSHAM FAIR MALL RD UNIT 1
TOPSHAM ME
04086-1773
US

IV. Provider business mailing address

PO BOX 911
BRATTLEBORO VT
05302-0911
US

V. Phone/Fax

Practice location:
  • Phone: 207-303-3300
  • Fax: 207-250-2137
Mailing address:
  • Phone: 207-303-3200
  • Fax: 207-250-2140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCNP81326
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP81326
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number044600
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: