- Practice location
- 180 Church Hill RD Ste 1, Leeds, ME 04263-3418
- Phone
- 207-524-3501
- Fax
- 207-524-2093
- Last updated
- June 25, 2021
Ellen N. Medrano is a Physician Assistant based in Leeds, ME. Ellen N. Medrano practices in Leeds, ME and has the professional credentials of PA. The NPI Number for Ellen N. Medrano is 1083738736 and holds a License No. PA428 (ME). The current practice location address for Ellen N. Medrano is 180 Church Hill RD Ste 1, Leeds, ME 04263-3418 and can be reached out via phone at 207-524-3501 and via fax at 207-524-2093.
Provider Profile Details
- NPI Number
- 1083738736
- Provider Name
- Ellen N. Medrano
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 180 Church Hill RD Ste 1, Leeds, ME 04263-3418
- Phone Number
- 207-524-3501
- Fax Number
- 207-524-2093
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Ellen N Daggett-Medrano, PA-C (Former Name)
- Provider Enumeration Date
- March 19, 2007
- Last Update Date
- June 25, 2021
- Certification Date
- June 25, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 Church Hill RD Ste 1
Leeds, ME 04263-3418 - City
- Leeds
- State
- Maine
- Zip
- 04263-3418
- Phone Number
- 207-524-3501
- Fax Number
- 207-524-2093
Provider Business Mailing Address Details
- Address
- 180 Church Hill RD Ste 1
Leeds, ME 04263-3418 - City
- Leeds
- State
- ME
- Zip
- 04263-3418
- Phone Number
- 207-524-3501
- Fax Number
- 207-524-2093
License Information
- License Number
- PA428
- License State
- ME
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Leeds, ME
View all Physician Assistants in Leeds →Frequently Asked Questions
What is the NPI number of Ellen N Medrano, PA?
The NPI number of Ellen N Medrano, PA is 1083738736. It was assigned on March 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Ellen N Medrano, PA?
Ellen N Medrano, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA428.
Where does Ellen N Medrano, PA practice?
The practice location is 180 Church Hill RD Ste 1, Leeds, ME 04263-3418. The office can be reached at 207-524-3501 (phone) or 207-524-2093 (fax).
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 1083738736 directly on the NPPES registry website.