Active NPIIndividual provider

Mrs. Pamela J Koenig, MSN, CRNP

Nurse Practitioner, Family in Eastport, Maine

NPI Number1376548446
Practice location
30 Boynton St, Eastport, ME 04631-1306
Fax
207-853-6180
Last updated
December 9, 2011

Pamela J. Koenig is a Nurse Practitioner, Family based in Eastport, ME. Pamela J. Koenig practices in Eastport, ME and has the professional credentials of MSN, CRNP. The NPI Number for Pamela J. Koenig is 1376548446 and holds a License No. SP008472 (PA). The current practice location address for Pamela J. Koenig is 30 Boynton St, Eastport, ME 04631-1306 and can be reached out via phone at 207-853-6001 and via fax at 207-853-6180.

Provider Profile Details

NPI Number
1376548446
Provider Name
Pamela J. Koenig
Credential
MSN, CRNP
Provider Entity Type
Individual
Gender
Female
Address
30 Boynton St, Eastport, ME 04631-1306
Phone Number
207-853-6001
Fax Number
207-853-6180
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2005
Last Update Date
December 9, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Boynton St
Eastport, ME 04631-1306
State
Maine
Zip
04631-1306
Phone Number
207-853-6001
Fax Number
207-853-6180
Eastport, ME 04631Get directions →

Provider Business Mailing Address Details

Address
30 Boynton St
Eastport, ME 04631-1306
City
Eastport
State
ME
Zip
04631-1306
Phone Number
207-853-6001
Fax Number
207-853-6180

License Information

License Number (1)
SP008472
License State (1)
PA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
CNP111017
License State (2)
ME
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Family providers near Eastport, ME

View all Nurse Practitioner, Family providers in Eastport →

Frequently Asked Questions

What is the NPI number of Mrs. Pamela J Koenig, MSN, CRNP?

The NPI number of Mrs. Pamela J Koenig, MSN, CRNP is 1376548446. It was assigned on June 16, 2005 and is currently active in the NPPES registry.

What is the specialty of Mrs. Pamela J Koenig, MSN, CRNP?

Mrs. Pamela J Koenig, MSN, CRNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number SP008472.

Where does Mrs. Pamela J Koenig, MSN, CRNP practice?

The practice location is 30 Boynton St, Eastport, ME 04631-1306. The office can be reached at 207-853-6001 (phone) or 207-853-6180 (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 1376548446 directly on the NPPES registry website.

Browse related providers