Brianna Boutin, NP | |
12 High St, Suite 301, Lewiston, ME 04240-7676 | |
(207) 795-5730 | |
(207) 795-5749 |
Full Name | Brianna Boutin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 12 High St, Lewiston, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962854786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | CNP161075 (Maine) | Primary |
Entity Name | Central Maine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441 |
Entity Name | Zjm2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730447749 PECOS PAC ID: 8729244595 Enrollment ID: O20120723000699 |
Mailing Address | Practice Location Address |
---|---|
Brianna Boutin, NP 12 High St, Suite 301, Lewiston, ME 04240-7676 Ph: (207) 795-5730 | Brianna Boutin, NP 12 High St, Suite 301, Lewiston, ME 04240-7676 Ph: (207) 795-5730 |
Ms. Nan M Boucher, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 99 Campus Ave, Suite 201, Lewiston, ME 04240 Phone: 207-777-8810 Fax: 207-777-8155 | |
Michael S Hiltz, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 689 Sabattus St, Lewiston, ME 04240 Phone: 800-434-3000 | |
Karen Shepard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 High St, Lewiston, ME 04240 Phone: 207-753-3900 Fax: 207-753-3902 | |
Kendra Anne Greene, MSN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-755-3067 Fax: 207-777-8826 | |
Angelica Leah Estes-lebrun, MSN-APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 High St, Lewiston, ME 04240 Phone: 207-795-5750 | |
David J. Wright, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Ave Ste 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946 | |
Ms. Holly L Stewart, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Ave, Suite 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946 |