Active NPIIndividual provider

Carolyn K Gothard, FNP

Nurse Practitioner, Family in Brewer, Maine

NPI Number1437155884
Practice location
735 Wilson St, Brewer, ME 04412
Fax
207-990-1248
Last updated
July 8, 2010

Carolyn K Gothard is a Nurse Practitioner, Family based in Brewer, ME. Carolyn K Gothard practices in Brewer, ME and has the professional credentials of FNP. The NPI Number for Carolyn K Gothard is 1437155884 and holds a License No. AP081480 (ME). The current practice location address for Carolyn K Gothard is 735 Wilson St, Brewer, ME 04412 and can be reached out via phone at 207-945-5247 and via fax at 207-990-1248.

Provider Profile Details

NPI Number
1437155884
Provider Name
Carolyn K Gothard
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
735 Wilson St, Brewer, ME 04412
Phone Number
207-945-5247
Fax Number
207-990-1248
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2005
Last Update Date
July 8, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
735 Wilson St
Brewer, ME 04412
City
Brewer
State
Maine
Zip
04412
Phone Number
207-945-5247
Fax Number
207-990-1248
Brewer, ME 04412Get directions →

Provider Business Mailing Address Details

Address
Po Box 1599
Bangor, ME 04402-1599
City
Bangor
State
ME
Zip
04402-1599
Phone Number
207-945-5247
Fax Number
207-947-0435

License Information

License Number (1)
AP081480
License State (1)
ME
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
RO35933
License State (2)
ME
Taxonomy (2)
Registered Nurse · 163W00000X

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 Carolyn K Gothard, FNP?

The NPI number of Carolyn K Gothard, FNP is 1437155884. It was assigned on June 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Carolyn K Gothard, FNP?

Carolyn K Gothard, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in ME under license number AP081480.

Where does Carolyn K Gothard, FNP practice?

The practice location is 735 Wilson St, Brewer, ME 04412. The office can be reached at 207-945-5247 (phone) or 207-990-1248 (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 1437155884 directly on the NPPES registry website.

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