NPI Code Details Logo

NPI 1407584626

NPI 1407584626 : HOPE BLAIS PMHNP-BC : OAKLAND, ME

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1407584626
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HOPE BLAIS PMHNP-BC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/15/2022
-----------------------------------------------------
    Last Update Date     |    08/17/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9 PLEASANT ST 
-----------------------------------------------------
    City                 |    OAKLAND
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    04963-5074
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    207-465-4000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1307 CROSS HILL RD 
-----------------------------------------------------
    City                 |    VASSALBORO
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    04989-3703
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    731-324-0653
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    CNP221171
-----------------------------------------------------
    License Number State |    ME
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.