Active NPIIndividual provider

Nicolette C Matteau, PA-C

Physician Assistant in Berwick, Maine

NPI Number1003485285
Practice location
4 Dana Ln, Berwick, ME 03901-2767
Fax
—
Last updated
September 30, 2022

Nicolette Crystal Matteau is a Physician Assistant based in Berwick, ME. Nicolette Crystal Matteau practices in Berwick, ME and has the professional credentials of PA-C. The NPI Number for Nicolette Crystal Matteau is 1003485285 and holds a License No. PA2195 (ME). The current practice location address for Nicolette Crystal Matteau is 4 Dana Ln, Berwick, ME 03901-2767 and can be reached out via phone at 207-698-6700.

Provider Profile Details

NPI Number
1003485285
Provider Name
Nicolette Crystal Matteau
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4 Dana Ln, Berwick, ME 03901-2767
Phone Number
207-698-6700
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Nicolette Crystal Matteay (Professional Name)
Provider Enumeration Date
June 22, 2021
Last Update Date
September 30, 2022
Certification Date
September 30, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Dana Ln
Berwick, ME 03901-2767
State
Maine
Zip
03901-2767
Phone Number
207-698-6700
Berwick, ME 03901Get directions →

Provider Business Mailing Address Details

Address
15 Hospital Dr
York, ME 03909-1099
City
York
State
ME
Zip
03909-1099
Phone Number
072-363-4321

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA2195
License State (2)
ME
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicolette C Matteau, PA-C?

The NPI number of Nicolette C Matteau, PA-C is 1003485285. It was assigned on June 22, 2021 and is currently active in the NPPES registry.

What is the specialty of Nicolette C Matteau, PA-C?

Nicolette C Matteau, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA2195.

Where does Nicolette C Matteau, PA-C practice?

The practice location is 4 Dana Ln, Berwick, ME 03901-2767. The office can be reached at 207-698-6700 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003485285 directly on the NPPES registry website.

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