Healthcare Provider Details

I. General information

NPI: 1376367086
Provider Name (Legal Business Name): SARA BETH GRAF FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 MAIN ST
WATERVILLE ME
04901-6117
US

IV. Provider business mailing address

PO BOX 13
CANAAN ME
04924-0013
US

V. Phone/Fax

Practice location:
  • Phone: 207-877-3400
  • Fax:
Mailing address:
  • Phone: 207-612-6334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberCNP251360
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: