MRS. DOREEN MUIR SIDDALL (NPI# 1992004618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992004618 |
Entity Type | Individual |
Full Name | MRS. DOREEN MUIR SIDDALL |
Other Name | MS. DOREEN MUIR SPENCE |
Credential | NP |
Practice Address |
58 Baribeau Dr Brunswick ME 04011-3218 |
Practice Telephone | 2073733638 |
Practice Fax Number | 2073733616 |
Mailing Telephone | 2073733638 |
Mailing Fax Number | 2073733616 |
Enumeration Date | 2011-03-21 |
Last Update Date | 2011-03-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP081563 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
58 BARIBEAU DR |
City | BRUNSWICK |
State | ME |
Zip Code | 04011-3218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396726501 | Mid Coast Geriatric Services Corp | Skilled Nursing Facility | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2005-11-07 |
1194178715 | Nicola Jane Morris | Occupational Therapist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2016-07-19 |
1548617160 | Theresa Johnson | Physical Therapist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2016-05-24 |
1588039564 | Cynthia Knox | Occupational Therapist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2015-12-02 |
1801277967 | Hilary Laforge | Clinic/Center | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2015-06-15 |
1861888141 | Julia M Levesque-leroy | Physical Therapist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2015-04-13 |
1609262336 | Kim Watson | Speech-Language Pathologist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2015-04-09 |
1558533216 | Veronica Kilbourn | Physical Therapist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2008-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
Find all providers in zip 04011 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053416446 | Sandra J Hayes | Nurse Practitioner | 3600 College Sta, Brunswick, ME 04011-8427 | 2006-09-13 |
1508870460 | Samantha R Meeks | Nurse Practitioner | 3300 4th St, Brunswick, GA 31520-3779 | 2006-07-28 |
1962471888 | Karmen K Blackstone | Nurse Practitioner | 430 Bath Rd, Suite 102, Brunswick, ME 04011-2656 | 2006-03-14 |
1700399060 | Rene Nicole Fisler | Nurse Practitioner | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2017-11-08 |
1285973149 | Olivia Rambo Neal | Nurse Practitioner | 3226 Hampton Ave Ste A, Brunswick, GA 31520-4226 | 2013-02-12 |
1841436557 | Charlotte Mock Hand | Nurse Practitioner | 2400 Parkwood Dr, Brunswick, GA 31520-4778 | 2008-12-30 |
1659521714 | Margaret Julia Kelley | Nurse Practitioner | 66 Baribeau Dr, Brunswick, ME 04011-3230 | 2008-09-25 |
1184893943 | Donna Naomi Lawson | Nurse Practitioner | 3025 Shrine Rd, Suite 280, Brunswick, GA 31520-4784 | 2008-02-26 |
1134329287 | Kate Pinkerton | Nurse Practitioner | 6 Farley Rd, Brunswick, ME 04011-2642 | 2007-07-18 |
1306052279 | Vicky Whittington Alday | Nurse Practitioner | 390 Eh Ct, Brunswick, GA 31520-2198 | 2007-05-15 |
Find all providers in BRUNSWICK |
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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.