MARY ALMA LAKE FNP NPI 1578671871

NPI Information

NPI: 1578671871
Provider Name: MARY ALMA LAKE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1 WELLNESS WAY
SUITE B
TOPSHAM, ME
ZIP 04086
Phone: (207) 406-7667
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Mary Alma Lake, FNP is a family nurse practitioner in Topsham, ME with 24 years of experience. Mary Alma Lake, FNP NPI is 1578671871. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 WELLNESS WAY
SUITE B
TOPSHAM, ME
ZIP 04086-768
Phone: (207) 406-7667
Fax: (207) 406-7601

The NPI 1578671871 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2006 and was last updated on 2/11/2016.

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
1	208M00000X	Hospitalist		R019912	MAINE	No
2	363LF0000X	Nurse Practitioner	Family	R019912	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P11638	MEDICARE UPIN
2	VX0185	MEDICARE PIN	MAINE

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

NPI Synchronization or Removal

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