Lisa L Bulthuis is a Family in South Portland, Maine. Lisa L Bulthuis practices all healthcare services and medical treatments related to Family. The NPI Number for Lisa L Bulthuis is 1689636607. The last update date is 2017-11-07.
Lisa L Bulthuis's current location address is 100 Gannett Drive, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for Lisa L Bulthuis is 100 Gannett Drive, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa L Bulthuis |
|---|---|
| Address | 100 Gannett Drive, South Portland, Maine |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1689636607 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2017-11-07 |
Provider Mailing Address Detail
| Address | 100 Gannett Drive |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 4106 |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | CNP81553 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| E400409706 | ME | MEDICARE | |
| E400409710 | ME | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa L Bulthuis by the Centers for Medicare & Medicaid Services?
The Lisa L Bulthuis has been assigned the NPI (National Provider Identifier) 1689636607 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lisa L Bulthuis?
The Lisa L Bulthuis is situated at 100 Gannett Drive, in the city of South Portland, state of ME, with the zip code 4106.
What is Lisa L Bulthuis's area of expertise and its corresponding taxonomy classification?
The Lisa L Bulthuis's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1689636607 to Lisa L Bulthuis?
The Centers for Medicare & Medicaid Services assigned the 1689636607 to Lisa L Bulthuis on 2006-04-05.
When was the information related to Lisa L Bulthuis most recently updated or refreshed?
The details pertaining to the Lisa L Bulthuis, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-11-07.
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