Deborah Marisa Prouse in Belfast - Physician Assistant
Deborah Marisa Prouse - NPI 1063512093
Deborah Marisa Prouse is a Physician Assistant in Belfast, Maine. Deborah Marisa Prouse practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Deborah Marisa Prouse is 1063512093. The last update date is 2021-10-13.
Deborah Marisa Prouse's current location address is Po Box 5105, Belfast, Maine. You can contact this provider via phone number 9192205255. The mailing address for Deborah Marisa Prouse is Po Box 5105, Belfast, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Deborah Marisa Prouse |
---|---|
Address | Po Box 5105, Belfast, Maine |
Phone Number | 9192205255 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C, ATC |
NPI Number Detail
NPI Number | 1063512093 |
---|---|
Provider Enumeration Date | 2006-09-22 |
Last Updated Date | 2021-10-13 |
Provider Mailing Address Detail
Address | Po Box 5105 |
---|---|
City | Belfast |
State | Maine (ME) |
Post Code | 49155100 |
Phone Number | 9192205255 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | 0010-06287 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
0010-06287 | NC | MEDICAL LICENSE |
Post Comment/ Review Below
What is the Deborah Marisa Prouse's 1063512093?
The Deborah Marisa Prouse's NPI (National Provider Identifier) Number is 1063512093. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Deborah Marisa Prouse is physically located?
The Deborah Marisa Prouse is situated at the following address: Po Box 5105, Belfast, ME 49155100.
What is Deborah Marisa Prouse's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Deborah Marisa Prouse's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Deborah Marisa Prouse receive the assignment of its 1063512093 from the Centers for Medicare & Medicaid Services?
The Deborah Marisa Prouse was issued its 1063512093 by the Centers for Medicare & Medicaid Services on 2006-09-22.
When was the information regarding Deborah Marisa Prouse, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Deborah Marisa Prouse, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-10-13.