Healthcare Provider Details

I. General information

NPI: 1316800634
Provider Name (Legal Business Name): MRS. BELINDA LYONS DUPILE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

470 AUBURN RD STE B
TURNER ME
04282-4165
US

IV. Provider business mailing address

17 LEGENDS WAY
BUCKFIELD ME
04220-4155
US

V. Phone/Fax

Practice location:
  • Phone: 207-240-1719
  • Fax:
Mailing address:
  • Phone: 207-240-1719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP251840
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: