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NPI Code Detail

MEDICARE: STEPHEN J DICKEY NP

MEDICARE: STEPHEN J DICKEY 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
1363LC1500XCommunity Health Nurse PractitionerAP101054ME

General Provider Information

NPI Number : 1679888721
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN J DICKEY NP
Provider Business Mailing Address
First Line : 8 S MAIN ST
Second Line :
City : MADISON
State : ME
Zip : 04950-4501
Country : US
Telephone Number : 207-696-3992
Fax Number : 207-696-3974
Provider Business Practice Location Address
First Line : 8 S MAIN ST
Second Line :
City : MADISON
State : ME
Zip : 04950-4501
Country : US
Telephone Number : 207-696-3992
Fax Number : 207-696-3974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2010
Last Update Date : 08/13/2010

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