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BREANNA LIBBY FNP-BC NPI 1497459069


NPI Information

NPI: 1497459069
Provider Name: BREANNA LIBBY FNP-BC

Doing Business As: MOOSABEC MEDICAL

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
298 MAIN ST
JONESPORT, ME
ZIP 04649
Phone: (207) 598-9648
Get Directions

BREANNA LIBBY FNP-BC is a clinic center in Jonesport, ME. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BREANNA LIBBY FNP-BC NPI is 1497459069. The provider is registered as an organization entity type.
The provider Is Doing Business As Moosabec Medical.

The provider's business location address is:

298 MAIN ST
JONESPORT, ME
ZIP 04649-345
Phone: (207) 598-9648
Fax: (207) 497-4050

The provider's authorized official is Breanna Libby .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (207) 598-9648.

The enumeration date for this NPI number is 3/28/2023 and was last updated on 12/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QI0500XClinic/CenterInfusion TherapyNo
2261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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