Nicholas D Pennell is a Family in Portland, Maine. Nicholas D Pennell practices all healthcare services and medical treatments related to Family. The NPI Number for Nicholas D Pennell is 1053368993. The last update date is 2013-07-25.
Nicholas D Pennell's current location address is 1321 Washington Ave, Portland, Maine. You can contact this provider via phone number 2077806565 and fax number 2078786565. The mailing address for Nicholas D Pennell is 1321 Washington Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas D Pennell |
|---|---|
| Address | 1321 Washington Ave, Portland, Maine |
| Phone Number | 2077806565 |
| Fax Number | 2078786565 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1053368993 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2013-07-25 |
Provider Mailing Address Detail
| Address | 1321 Washington Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41033636 |
| Phone Number | 2077806565 |
| Fax Number | 2078786565 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R049269 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30347108 | NH | -- | |
| 433046299 | ME | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Nicholas D Pennell by the Centers for Medicare & Medicaid Services?
The Nicholas D Pennell has been issued the NPI (National Provider Identifier) 1053368993. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Nicholas D Pennell is located?
The Nicholas D Pennell is situated at the following address: 1321 Washington Ave, Portland, ME, 41033636.
What is the area of specialization for Nicholas D Pennell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nicholas D Pennell is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did Nicholas D Pennell receive its 1053368993 assignment from the Centers for Medicare & Medicaid Services?
The Nicholas D Pennell was assigned its 1053368993 on 2006-05-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Nicholas D Pennell's details last updated?
The information pertaining to the Nicholas D Pennell, including its address, specialty, and other details, was most recently updated on 2013-07-25.