| Lisa A Tabenken, NP | |
|
33 Sewall St, Portland, ME 04102-2603 | |
| (207) 828-2100 | |
| Not Available |
| Full Name | Lisa A Tabenken |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 33 Sewall 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 |
|---|---|---|---|
| 1124018387 | NPI | - | NPPES |
| 1124018387 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | CNP81696 (Maine) | Primary |
| Entity Name | Spectrum Healthcare Partners Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275128688 PECOS PAC ID: 7618871245 Enrollment ID: O20210920000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A Tabenken, NP 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 Ph: (207) 482-7800 | Lisa A Tabenken, NP 33 Sewall St, Portland, ME 04102-2603 Ph: (207) 828-2100 |
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 | |
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 | |
Kathleen J Mongillo, MS,ARNP,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Lancaster Street, Portland, ME 04101 Phone: 207-772-2133 |