person
Heustis Whiteside III
Psychiatric/Mental Health Nurse Practitioner in Farmington, Maine
NPI 1437552916

Heustis Whiteside III is a Psychiatric/Mental Health Nurse Practitioner based in Farmington, ME and is specialized in Psychiatric/Mental Health. Heustis Whiteside III practices in Farmington, ME. The NPI Number for Heustis Whiteside III is 1437552916 and holds a License No. CNP141059 (Maine).

The current practice location address for Heustis Whiteside III is 107 Box Shop Hl, Farmington, ME and can be reached out via phone at 207-860-4090 and via fax at 207-860-4098.

Location: 107 Box Shop Hl, Farmington, ME, 04938-0350
person
Provider Profile Details
NPI Number
1437552916
Provider Name
Heustis Whiteside III
Credential
Provider Entity Type
Individual
Gender
Male
Address
107 Box Shop Hl, Farmington, ME, 04938-0350
Phone Number
207-860-4090
Fax Number
207-860-4098
Provider Enumeration Date
09/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
107 Box Shop Hl
City
State
Zip
04938-5749
Phone Number
207-860-4090
Fax Number
207-860-4098
person
Provider Business Mailing Address Details
Address
107 Box Shop Hl
City
State
Zip
04938-5749
Phone Number
207-860-4090
Fax Number
207-860-4098
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
CNP141059 (Maine)
Definition
Definition to come...
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