Active NPIIndividual provider

Lise A Desjardins, FNP-C

Nurse Practitioner, Family in Rockport, Maine

NPI Number1164643128
Practice location
756 Commercial St, Rockport, ME 04856-4201
Fax
—
Last updated
July 8, 2007

Lise A Desjardins is a Nurse Practitioner, Family based in Rockport, ME. Lise A Desjardins practices in Rockport, ME and has the professional credentials of FNP-C. The NPI Number for Lise A Desjardins is 1164643128 and holds a License No. R026287 (ME). The current practice location address for Lise A Desjardins is 756 Commercial St, Rockport, ME 04856-4201 and can be reached out via phone at 207-593-5566.

Provider Profile Details

NPI Number
1164643128
Provider Name
Lise A Desjardins
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
756 Commercial St, Rockport, ME 04856-4201
Phone Number
207-593-5566
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
756 Commercial St
Rockport, ME 04856-4201
State
Maine
Zip
04856-4201
Phone Number
207-593-5566
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
187 Bayside W
Owls Head, ME 04854-3432
City
Owls Head
State
ME
Zip
04854-3432
Phone Number
207-594-1179

License Information

License Number
R026287
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 Lise A Desjardins, FNP-C?

The NPI number of Lise A Desjardins, FNP-C is 1164643128. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Lise A Desjardins, FNP-C?

Lise A Desjardins, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number R026287.

Where does Lise A Desjardins, FNP-C practice?

The practice location is 756 Commercial St, Rockport, ME 04856-4201. The office can be reached at 207-593-5566 (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 1164643128 directly on the NPPES registry website.

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