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NPI Code Detail

MEDICARE: RYAN STEVEN CAULFIELD

MEDICARE: RYAN STEVEN CAULFIELD
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
1163W00000XRegistered NurseRN743333PA
2367500000XCertified Registered Nurse AnesthetistRNA263052ME

General Provider Information

NPI Number : 1629782123
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN STEVEN CAULFIELD
Provider Business Mailing Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-2526
Fax Number : 207-662-6236
Provider Business Practice Location Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-2526
Fax Number : 207-662-6236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2023
Last Update Date : 06/10/2026

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Directions to “ RYAN STEVEN CAULFIELD ” Practice Location

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