NICOLE LOUISE ROBITAILLE


Address: 417 State St Ste 330, Bangor, ME 04401-6638
Phone: 2079738881

NICOLE LOUISE ROBITAILLE (NPI# 1063076461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063076461
Entity Type Individual
Full Name NICOLE LOUISE ROBITAILLE
Practice Address 417 State St Ste 330
Bangor
ME 04401-6638
Mailing Address 43 Whiting Hill Rd
Brewer
ME 04412-1005
Practice Telephone 2079738881
Practice Fax Number 2079738880
Mailing Telephone 0797350352
Mailing Fax Number 2079735042
Enumeration Date 2019-05-01
Last Update Date 2020-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA2084 ME Physician Assistants & Advanced Practice Nursing Providers

Other Providers NICOLE ROBITAILLE

NPI Name Taxonomy Address Enumeration
1356987754 Nicole Leigh Robitaille Social Worker 151 Rock St, Fall River, MA 02720-3201 2019-11-20

Office Location

Street Address 417 STATE ST STE 330
City BANGOR
State ME
Zip Code 04401-6638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124092085 Henry Lin Surgery 417 State St Ste 330, Bangor, ME 04401-6638 2006-02-15
1922668466 Kathryn Dobrovolny Physician Assistant 417 State St Ste 330, Bangor, ME 04401-6638 2019-06-17
1689084725 Tyler Bernaiche Surgery 417 State St Ste 330, Bangor, ME 04401-6638 2014-04-29
1407294192 Daniel Hetherman Surgery 417 State St Ste 330, Bangor, ME 04401 2013-06-05
1487097275 Matthew Edward Sharbaugh Surgery 417 State St Ste 330, Bangor, ME 04401-6638 2013-04-10
1275813578 Maria Michailidou Surgery 417 State St Ste 330, Bangor, ME 04401 2011-08-18
1457489106 Northeast Surgery, P.a. Surgery 417 State St Ste 330, Bangor, ME 04401-6638 2007-03-02
1467528737 James Lincoln Clarke Surgery 417 State St Ste 330, Bangor, ME 04401-6638 2006-11-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
Find all providers in zip 04401

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679595433 John Nowak Physician Assistant 489 State Street, Eastern Maine Medical Center, Bangor, ME 04401 2006-07-24
1093730350 Melissa Becker Physician Assistant 925 Union St, Suite 3, Bangor, ME 04401-3051 2006-07-13
1356969521 Ashley Gilmore Physician Assistant 883 Union Street, Suite 145, Bangor, ME 04401 2020-07-14
1508496845 Jeremy Kent Wu Physician Assistant 55 Broadway Ste 2, Bangor, ME 04401-5201 2020-01-24
1922668466 Kathryn Dobrovolny Physician Assistant 417 State St Ste 330, Bangor, ME 04401-6638 2019-06-17
1356809883 Abigail Elizabeth Bobbitt Physician Assistant 417 State Street, Webber West, Suite 443, Bangor, ME 04401 2019-03-04
1023574357 Katherine Page Hintz Physician Assistant 55 Broadway Ste 2, Bangor, ME 04401-5201 2019-02-12
1992286546 Royce Blackwood Physician Assistant 360 Broadway, Bangor, ME 04401-3979 2018-08-22
1609383041 Alana Rive Silverman Physician Assistant 417 State St Ste 221, Bangor, ME 04401-6630 2018-01-08
1366951501 Andrew Michael Zielinski Physician Assistant 417 State St Ste 340, Bangor, ME 04401-6634 2017-09-20
Find all providers in BANGOR

Competitor

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City BANGOR
Zip Code 04401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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