Heather Georgianna Beveridge
Nurse Practitioner - Primary Care
300 Main St
Lewiston
, Maine 04240-7027
Heather Georgianna Beveridge
Nurse Practitioner - Primary Care
300 Main St
Lewiston
, Maine 04240-7027
(207) 795-2766
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Heather Georgianna Beveridge
- 300 Main St
- Lewiston, ME
- Zip : 04240-7027
- Fax : (207) 795-2766
- Phone : (207) 795-0111
Second Address
- Heather Georgianna Beveridge
- 300 Main St
- Lewiston, ME
- Zip : 04240-7027
- Fax : (207) 795-2766
- Phone : (207) 795-0111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 141049 | ME |
National Provider Identifier
| NPI | 1083870620 |
|---|---|
| Provider Name | Heather Georgianna Beveridge |
| First Address | Lewiston, ME 04240-7027 |
| Second Address | Lewiston, ME 04240-7027 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2008 |
| Last Update Date | 02/08/2016 |
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.