Hailey E Geoghegan
Nurse Practitioner
735 Wilson St
Brewer
, Maine 04412-1000
Hailey E Geoghegan
Nurse Practitioner
735 Wilson St
Brewer
, Maine 04412-1000
(207) 404-8200
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Hailey E Geoghegan
- Po Box 1599
- Bangor, ME
- Zip : 04402-1599
- Phone : (207) 404-8200
Second Address
- Hailey E Geoghegan
- 735 Wilson St
- Brewer, ME
- Zip : 04412-1000
- Fax : (207) 989-2286
- Phone : (207) 989-1567
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP211487 | ME |
National Provider Identifier
| NPI | 1003586025 |
|---|---|
| Provider Name | Hailey E Geoghegan |
| First Address | Bangor, ME 04402-1599 |
| Second Address | Brewer, ME 04412-1000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2021 |
| Last Update Date | 12/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.