Sally S Stothoff is a Family in Waterville, Maine. Sally S Stothoff practices all healthcare services and medical treatments related to Family. The NPI Number for Sally S Stothoff is 1366439929. The last update date is 2016-05-23.
Sally S Stothoff's current location address is 180 Kennedy Memorial Dr, Waterville, Maine. You can contact this provider via phone number 2078725529 and fax number 2078729219. The mailing address for Sally S Stothoff is 180 Kennedy Memorial Dr, Waterville, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally S Stothoff |
|---|---|
| Address | 180 Kennedy Memorial Dr, Waterville, Maine |
| Phone Number | 2078725529 |
| Fax Number | 2078729219 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1366439929 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2016-05-23 |
Provider Mailing Address Detail
| Address | 180 Kennedy Memorial Dr |
|---|---|
| City | Waterville |
| State | Maine (ME) |
| Post Code | 49014540 |
| Phone Number | 2078725529 |
| Fax Number | 2078729219 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R024050 |
|
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 |
|---|---|---|---|
| 284350099 | ME | -- | |
| P00066199 | ME | RAILROAD MEDICARE | |
| 40915 | ME | ANTHEM | |
| AA21889 | ME | HARVARD PILGRIM HEALTHCA |
Post Comment/ Review Below
What is the Sally S Stothoff's unique identification number?
The Sally S Stothoff has been assigned the NPI (National Provider Identifier) Number 1366439929 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Sally S Stothoff located?
The Sally S Stothoff is located at 180 Kennedy Memorial Dr, Waterville, ME 49014540.
What is Sally S Stothoff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sally S Stothoff is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366439929 to Sally S Stothoff?
The Centers for Medicare & Medicaid Services originally issued the 1366439929 to Sally S Stothoff on 2005-09-29.
When was the information regarding Sally S Stothoff most recently updated?
The details pertaining to the Sally S Stothoff, including its address, specialty, and other relevant information, were last refreshed on 2016-05-23.