Shannon Rene Stewart, CNP | |
56 Bangor St, Houlton, ME 04730-1641 | |
(207) 521-0022 | |
Not Available |
Full Name | Shannon Rene Stewart |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 56 Bangor St, Houlton, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649772237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP2201X | Registered Nurse - Ambulatory Care | RN51503 (Maine) | Secondary |
363LF0000X | Nurse Practitioner - Family | CNP201001 (Maine) | Primary |
Entity Name | Katahdin Valley Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376618546 PECOS PAC ID: 4880659903 Enrollment ID: O20041130000688 |
Mailing Address | Practice Location Address |
---|---|
Shannon Rene Stewart, CNP 529 S Patten Rd, Patten, ME 04765-3007 Ph: (207) 538-3700 | Shannon Rene Stewart, CNP 56 Bangor St, Houlton, ME 04730-1641 Ph: (207) 521-0022 |
Kaitlin Anne Koppel, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-3289 | |
Mrs. Linda Haines Self, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-3289 Fax: 207-532-6071 | |
Shelby Jean Stiles, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Hartford St, Houlton, ME 04730 Phone: 207-429-8333 | |
Jamieson F Romanelli, PMHNP/MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 59 Bangor St, Houlton, ME 04730 Phone: 207-538-3700 Fax: 207-528-2595 | |
Tory Rouse, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-7936 Fax: 207-532-7937 | |
Nancy Y Putnam, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Hartford St, Houlton, ME 04730 Phone: 207-532-3289 Fax: 207-532-6071 | |
Mrs. Kristin M Gallop, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 59 Bangor St, Houlton, ME 04730 Phone: 207-538-3700 |