MEDICARE: CAREN KACHORIS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	042046-23	NH
2	363LA2200X	Adult Health Nurse Practitioner	CNP81068	ME
3	363LA2200X	Adult Health Nurse Practitioner	101.0114576	VT

General Provider Information

NPI Number	:	1033214804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAREN KACHORIS NP

Provider Business Mailing Address
First Line	:	51 US ROUTE 1 STE C
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-7134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	866 MAIN ST
Second Line	:
City	:	SANFORD
State	:	ME
Zip	:	04073-3530
Country	:	US
Telephone Number	:	207-324-9385
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	05/13/2026

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