NPI 1407185374 · live from the CMS NPI Registry
West End Practice LLC
Registered Nurse, Psych/Mental Health, Adult in Portland, ME. National Provider Identifier 1407185374, active.
NPI record
| NPI | 1407185374 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 95 Pine St, Portland, ME 04102 |
| Practice phone | 207-272-5106 |
| Enumerated | December 23, 2009 |
| Last updated | December 23, 2009 |
| Authorized official | Claudine Grange, Owner, Psychiatric NP |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | ap081848 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.