NPI 1124204375 · live from the CMS NPI Registry
Genevieve R Macdonald, AcNP
Nurse Practitioner, Acute Care in Portland, ME. National Provider Identifier 1124204375, active.
NPI record
| NPI | 1124204375 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Acute Care 363LA2100X |
| Practice location | 818 Congress St, Portland, ME 04102 |
| Practice phone | 207-773-8161 |
| Mailing address | 301c Us Route One, Scarborough, ME 04074 |
| Enumerated | January 18, 2008 |
| Last updated | October 14, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | CNP111021 (ME) |
| Nurse Practitioner, Acute Care primary | 363LA2100X | CNP111021 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.