Active NPIIndividual providerSole proprietor

Lisa Belanger, FNP

Nurse Practitioner, Family in Gorham, Maine

NPI Number1285759993
Practice location
37 College Ave, 125 Upton Hall, Gorham, ME 04038-1032
Fax
—
Last updated
May 25, 2016

Lisa Belanger is a Nurse Practitioner, Family based in Gorham, ME. Lisa Belanger practices in Gorham, ME and has the professional credentials of FNP. The NPI Number for Lisa Belanger is 1285759993 and holds a License No. R021136 (ME). The current practice location address for Lisa Belanger is 37 College Ave, 125 Upton Hall, Gorham, ME 04038-1032 and can be reached out via phone at 207-780-5411.

Provider Profile Details

NPI Number
1285759993
Provider Name
Lisa Belanger
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
37 College Ave, 125 Upton Hall, Gorham, ME 04038-1032
Phone Number
207-780-5411
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2007
Last Update Date
May 25, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 College Ave
125 Upton Hall
Gorham, ME 04038-1032
City
Gorham
State
Maine
Zip
04038-1032
Phone Number
207-780-5411
Gorham, ME 04038Get directions →

Provider Business Mailing Address Details

Address
11 Lisas Way
North Yarmouth, ME 04097-6075
City
North Yarmouth
State
ME
Zip
04097-6075
Phone Number
207-657-2299

License Information

License Number (1)
R021136
License State (1)
ME
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
CNP81142
License State (2)
ME
Taxonomy (2)
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 Lisa Belanger, FNP?

The NPI number of Lisa Belanger, FNP is 1285759993. It was assigned on March 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Lisa Belanger, FNP?

Lisa Belanger, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number R021136.

Where does Lisa Belanger, FNP practice?

The practice location is 37 College Ave, 125 Upton Hall, Gorham, ME 04038-1032. The office can be reached at 207-780-5411 (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 1285759993 directly on the NPPES registry website.

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