Healthcare Provider Details

I. General information

NPI: 1326979949
Provider Name (Legal Business Name): ANTONIA PICCONE CPM
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 HENRY LN
WHITEFIELD ME
04353-3317
US

IV. Provider business mailing address

11 CRANBERRY LN
CUSHING ME
04563-3642
US

V. Phone/Fax

Practice location:
  • Phone: 202-257-4184
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: