Active NPIIndividual provider

Mary Ann Boulos-Lord, NP

Nurse Practitioner, Family in Auburn, Maine

NPI Number1285887158
Practice location
77 Harris St, Auburn, ME 04210-4671
Fax
207-376-0090
Last updated
October 29, 2008

Mary Ann Boulos-Lord is a Nurse Practitioner, Family based in Auburn, ME. Mary Ann Boulos-Lord practices in Auburn, ME and has the professional credentials of NP. The NPI Number for Mary Ann Boulos-Lord is 1285887158 and holds a License No. R037527 (ME). The current practice location address for Mary Ann Boulos-Lord is 77 Harris St, Auburn, ME 04210-4671 and can be reached out via phone at 207-782-6827 and via fax at 207-376-0090.

Provider Profile Details

NPI Number
1285887158
Provider Name
Mary Ann Boulos-Lord
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
77 Harris St, Auburn, ME 04210-4671
Phone Number
207-782-6827
Fax Number
207-376-0090
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
October 23, 2008
Last Update Date
October 29, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Harris St
Auburn, ME 04210-4671
City
Auburn
State
Maine
Zip
04210-4671
Phone Number
207-782-6827
Fax Number
207-376-0090
Auburn, ME 04210Get directions →

Provider Business Mailing Address Details

Address
Po Box 4140
Boston, MA 02241-0001
City
Boston
State
MA
Zip
02241-0001
Phone Number
207-777-4111
Fax Number
207-783-6660

License Information

License Number (1)
R037527
License State (1)
ME
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
R037527
License State (2)
ME
Taxonomy (2)
Registered Nurse, School · 163WS0200X
License Number (3)
AP081959
License State (3)
ME
Taxonomy (3)
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 Mary Ann Boulos-Lord, NP?

The NPI number of Mary Ann Boulos-Lord, NP is 1285887158. It was assigned on October 23, 2008 and is currently active in the NPPES registry.

What is the specialty of Mary Ann Boulos-Lord, NP?

Mary Ann Boulos-Lord, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number R037527.

Where does Mary Ann Boulos-Lord, NP practice?

The practice location is 77 Harris St, Auburn, ME 04210-4671. The office can be reached at 207-782-6827 (phone) or 207-376-0090 (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 1285887158 directly on the NPPES registry website.

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