NPI 1467259853 · live from the CMS NPI Registry
Charles Russell Boehm, RN
Registered Nurse, General Practice in Portland, ME. National Provider Identifier 1467259853, active.
NPI record
| NPI | 1467259853 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 84 Marginal Way Ste 700, Portland, ME 04101 |
| Practice phone | 207-774-5816 |
| Enumerated | February 25, 2025 |
| Last updated | February 25, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | RN30687 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.