Active NPIIndividual provider

Miranda Nicely, FNP-C

Nurse Practitioner, Family in Bath, Maine

NPI Number1083438774
Practice location
108 Centre St Ste 200, Bath, ME 04530-2550
Fax
—
Last updated
November 11, 2024

Miranda Nicely is a Nurse Practitioner, Family based in Bath, ME. Miranda Nicely practices in Bath, ME and has the professional credentials of FNP-C. The NPI Number for Miranda Nicely is 1083438774 and holds a License No. CNP241405 (ME). The current practice location address for Miranda Nicely is 108 Centre St Ste 200, Bath, ME 04530-2550 and can be reached out via phone at 207-386-1800.

Provider Profile Details

NPI Number
1083438774
Provider Name
Miranda Nicely
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
108 Centre St Ste 200, Bath, ME 04530-2550
Phone Number
207-386-1800
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
November 11, 2024
Last Update Date
November 11, 2024
Certification Date
November 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Centre St Ste 200
Bath, ME 04530-2550
City
Bath
State
Maine
Zip
04530-2550
Phone Number
207-386-1800
Bath, ME 04530Get directions →

Provider Business Mailing Address Details

Address
Po Box 620
West Farmington, ME 04992-0620
City
West Farmington
State
ME
Zip
04992-0620

License Information

License Number
CNP241405
License State
ME
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Miranda Nicely, FNP-C?

The NPI number of Miranda Nicely, FNP-C is 1083438774. It was assigned on November 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Miranda Nicely, FNP-C?

Miranda Nicely, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number CNP241405.

Where does Miranda Nicely, FNP-C practice?

The practice location is 108 Centre St Ste 200, Bath, ME 04530-2550. The office can be reached at 207-386-1800 (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 1083438774 directly on the NPPES registry website.

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