- Practice location
- 37 Fall Brook St, Portland, ME 04103-4224
- Phone
- 908-268-3552
- Fax
- —
- Last updated
- July 9, 2019
Victoria A Deane is a Preventive Medicine, Sports Medicine based in Portland, ME. Victoria A Deane practices in Portland, ME and has the professional credentials of LAC. The NPI Number for Victoria A Deane is 1063064285 and holds a License No. AC625 (ME). The current practice location address for Victoria A Deane is 37 Fall Brook St, Portland, ME 04103-4224 and can be reached out via phone at 908-268-3552.
Provider Profile Details
- NPI Number
- 1063064285
- Provider Name
- Victoria A Deane
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 37 Fall Brook St, Portland, ME 04103-4224
- Phone Number
- 908-268-3552
- Primary Taxonomy
- Preventive Medicine, Sports Medicine · 2083S0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 9, 2019
- Last Update Date
- July 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 37 Fall Brook St
Portland, ME 04103-4224 - City
- Portland
- State
- Maine
- Zip
- 04103-4224
- Phone Number
- 908-268-3552
Provider Business Mailing Address Details
- Address
- 125 Forest Unit 11072
Portland, ME 04104-4239 - City
- Portland
- State
- ME
- Zip
- 04104-4239
- Phone Number
- 908-268-3552
License Information
- License Number (1)
- AC625
- License State (1)
- ME
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- AC625
- License State (2)
- ME
- Taxonomy (2)
- Family Medicine, Sports Medicine · 207QS0010X
- License Number (3)
- AC625
- License State (3)
- ME
- Taxonomy (3)
- Preventive Medicine, Sports Medicine · 2083S0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Preventive Medicine, Sports Medicine providers near Portland, ME
View all Preventive Medicine, Sports Medicine providers in Portland →- Justin D Wendler, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1518885672
- MainehealthGeneral Acute Care Hospital · NPI 1467352344
- MainehealthGeneral Acute Care Hospital · NPI 1356241327
- MainehealthGeneral Acute Care Hospital · NPI 1790685774
- MainehealthGeneral Acute Care Hospital · NPI 1962302935
- MainehealthGeneral Acute Care Hospital · NPI 1881594877
Frequently Asked Questions
What is the NPI number of Victoria A Deane, LAC?
The NPI number of Victoria A Deane, LAC is 1063064285. It was assigned on July 9, 2019 and is currently active in the NPPES registry.
What is the specialty of Victoria A Deane, LAC?
Victoria A Deane, LAC is registered under the primary taxonomy Preventive Medicine, Sports Medicine (code 2083S0010X), licensed in ME under license number AC625.
Where does Victoria A Deane, LAC practice?
The practice location is 37 Fall Brook St, Portland, ME 04103-4224. The office can be reached at 908-268-3552 (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 1063064285 directly on the NPPES registry website.