STEPHANIE DRAGOON


Address: 712 Eastern Ave, Augusta, ME 04330-6713
Phone: 2073571287

STEPHANIE DRAGOON (NPI# 1366960841) 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) 1366960841
Entity Type Individual
Full Name STEPHANIE DRAGOON
Practice Address 712 Eastern Ave
Augusta
ME 04330-6713
Mailing Address 1 Va Center
Augusta
ME 04330
Practice Telephone 2073571287
Enumeration Date 2017-09-05
Last Update Date 2017-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
61854 ME Nursing Service Providers

Office Location

Street Address 712 EASTERN AVE
City AUGUSTA
State ME
Zip Code 04330-6713

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1093176844 Richard J. Larrabee Counselor 312 Townhouse Road, Chelsea, ME 04330 2016-03-08
1376910984 Sarah C. A. Tatlock Social Worker 41 Anthony Ave, Augusta, ME 04330 2015-08-31
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1659787836 Hannah M. Pullen Occupational Therapy Assistant 12 Shuman Ave Ste 16, Augusta, ME 04330 2014-07-08
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Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255967071 Simran Kaur Registered Nurse 2252 Nellie Dr, Augusta, GA 30906-8964 2020-03-13
1366739021 Kerensa A Cooks Registered Nurse 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 2011-07-01
1992330914 Kaylee D Ramos Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2020-03-10
1598235145 Mollie Odum Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906 2018-11-27
1487009403 Ashley Adkins Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2016-04-27
1609292226 Johnnie Kelly Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2014-03-06
1669810909 Donna L. Hunt Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2013-06-10
1588002018 Auriel W Pound Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2013-06-06
1053657221 Demetrial Evette Chandler Registered Nurse 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 2012-12-17
1780957126 Tommie Sue Bianchi-rossi Registered Nurse 1916 N Leg Rd, Augusta, GA 30909-4402 2012-02-15
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Competitor

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City AUGUSTA
Zip Code 04330

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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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