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1891088944 NPI number — STEPHANIE A NUTT PMHNP

NPI Number: 1891088944
Health Care Provider/Practitioner: STEPHANIE A NUTT PMHNP

Information about “1891088944” NPI (STEPHANIE A NUTT PMHNP) exists in 1891088944 in HTML format HTML  |  1891088944 in plain Text format TXT  |  1891088944 in PDF (Portable Document Format) PDF  |  1891088944 in an XML format XML  formats.

NPI Number : 1891088944 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891088944",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NUTT",
    "FirstName": "STEPHANIE",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PMHNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PARTRIDGE",
    "OtherFirstName": "STEPHANIE",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PMH-NP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 1599",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BANGOR",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04402-1599",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "207-945-5247",
    "MailingAddressFaxNumber": "207-947-0435",
    "FirstLinePracticeLocationAddress": "1 MERCHANTS PLZ STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BANGOR",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04401-6348",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-735-5593",
    "PracticeLocationAddressFaxNumber": "207-433-1063",
    "EnumerationDate": "05/24/2011",
    "LastUpdateDate": "09/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "CNP111022",
        "LicenseNumberStateCode": "ME",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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