Lois Tiedeken in South Portland - Nurse Practitioner
Lois Tiedeken - NPI 1326017070
Lois Tiedeken is a Nurse Practitioner in South Portland, Maine. Lois Tiedeken practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lois Tiedeken is 1326017070. The last update date is 2010-11-23.
Lois Tiedeken's current location address is 100 Foden Rd , West, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for Lois Tiedeken is 100 Foden Rd , West, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lois Tiedeken |
|---|---|
| Address | 100 Foden Rd , West, South Portland, Maine |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1326017070 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2010-11-23 |
Provider Mailing Address Detail
| Address | 100 Foden Rd , West |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41062327 |
| Phone Number | 2078280361 |
| Fax Number | 2078741483 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 22855 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique provider identifier assigned to Lois Tiedeken?
The Lois Tiedeken has been issued the NPI (National Provider Identifier) 1326017070 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Lois Tiedeken is physically located?
The Lois Tiedeken is situated at the following address: 100 Foden Rd , West, South Portland, ME 41062327.
What is Lois Tiedeken's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lois Tiedeken's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326017070 to Lois Tiedeken?
The Centers for Medicare & Medicaid Services originally issued the 1326017070 to Lois Tiedeken on 2006-03-15.
As of what date was the information regarding Lois Tiedeken, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lois Tiedeken, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-11-23.
NPI Number: 1215930425
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