Dr Leslie Winifred Henry, FNP | |
22 Bramhall St, Portland, ME 04102-3134 | |
(207) 662-2911 | |
(207) 662-6308 |
Full Name | Dr Leslie Winifred Henry |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 22 Bramhall St, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518998707 | NPI | - | NPPES |
7000980 | Medicaid | NC | |
C9727 | Other | NC | MEDCOST PROVIDER# |
P00237178 | Other | NC | PALMETTO GBA PROVIDER# |
FH4000395 | Other | NC | FIRSTCAROLINACARE PROV.# |
NP0951 | Other | SC | SC MEDICAID PROVIDER# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024167557 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | CNP81749 (Maine) | Primary |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Martin's Point Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366474611 PECOS PAC ID: 5991776635 Enrollment ID: O20040804001702 |
Mailing Address | Practice Location Address |
---|---|
Dr Leslie Winifred Henry, FNP 301c Us Route 1, Scarborough, ME 04074-9701 Ph: (207) 396-8600 | Dr Leslie Winifred Henry, FNP 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-2911 |
Ms. Nicole L. Mizner, C.P.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 887 Congress St, Suite 310, Portland, ME 04102 Phone: 207-773-2723 Fax: 207-773-3941 | |
Patricia Mae Wieler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 Congress St, Portland, ME 04102 Phone: 207-773-8161 | |
Olivia Polise, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 | |
Ms. Kelly Irene Daly, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Sewall St Ste 1, Portland, ME 04102 Phone: 207-774-5761 Fax: 207-874-7478 | |
Katharine E Addicott, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2911 Fax: 207-662-6006 | |
Leah Victoria Mahoney, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Bramhall St, Portland, ME 04102 Phone: 207-662-3157 Fax: 207-662-4257 | |
Lucy A Mack, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Marginal Way, Portland, ME 04101 Phone: 207-773-7964 |