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General NPI Number Information
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NPI Number | 1841766581
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Entity Type | Individual
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Provider Name | CRISTINA NEWSOM PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2018
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 217 MAIN ST STE 302
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City | LEWISTON
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State | ME
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Zip | 04240-8193
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Country | US
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Telephone | 833-511-8992
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Fax | 207-503-5946
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Provider Business Mailing Address
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Address Line | PO BOX 48
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City | EAST WILTON
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State | ME
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Zip | 04234-0048
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Country | US
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Telephone |
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Fax | 207-503-5946
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP201519
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP139410
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License Number State | TX
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