NPI 1992964076 · live from the CMS NPI Registry
Melissa Fuller
Audiologist in Portland, ME. National Provider Identifier 1992964076, active.
NPI record
| NPI | 1992964076 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 43 Baxter Blvd, Maine Medical Partners Otolaryngology, Portland, ME 04101 |
| Practice phone | 207-797-5753 |
| Mailing address | 54 Ash Swamp Rd, Scarborough, ME 04074 |
| Enumerated | June 4, 2008 |
| Last updated | October 24, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | AP2382 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.