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General NPI Number Information
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NPI Number | 1760331995
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Entity Type | Individual
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Provider Name | JOSIE MARIAH HEATH
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Gender | Female
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1945 CONGRESS ST STE C
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City | PORTLAND
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State | ME
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Zip | 04102-1967
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Country | US
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Telephone | 207-761-0177
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BROOKWEST LN
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City | WESTBROOK
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State | ME
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Zip | 04092-2676
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Country | US
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Telephone | 207-446-4605
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CNP251710
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License Number State | ME
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