Active NPIIndividual provider

Heather I Robertson, PA

Physician Assistant in Leeds, Maine

NPI Number1467452185
Practice location
180 Church Hill RD, Suite 1, Leeds, ME 04263-3418
Fax
207-524-2459
Last updated
June 25, 2021

Heather I. Robertson is a Physician Assistant based in Leeds, ME. Heather I. Robertson practices in Leeds, ME and has the professional credentials of PA. The NPI Number for Heather I. Robertson is 1467452185 and holds a License No. 0110002587 (VA). The current practice location address for Heather I. Robertson is 180 Church Hill RD, Suite 1, Leeds, ME 04263-3418 and can be reached out via phone at 207-524-3501 and via fax at 207-524-2459.

Provider Profile Details

NPI Number
1467452185
Provider Name
Heather I. Robertson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
180 Church Hill RD, Suite 1, Leeds, ME 04263-3418
Phone Number
207-524-3501
Fax Number
207-524-2459
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2005
Last Update Date
June 25, 2021
Certification Date
June 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Church Hill RD
Suite 1
Leeds, ME 04263-3418
City
Leeds
State
Maine
Zip
04263-3418
Phone Number
207-524-3501
Fax Number
207-524-2459
Leeds, ME 04263Get directions →

Provider Business Mailing Address Details

Address
180 Church Hill RD
Suite 1
Leeds, ME 04263-3418
City
Leeds
State
ME
Zip
04263-3418
Phone Number
207-524-3501
Fax Number
207-524-2459

License Information

License Number (1)
0110002587
License State (1)
VA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
MA003586L
License State (2)
PA
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
PA1472
License State (3)
ME
Taxonomy (3)
Physician Assistant · 363A00000X · 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 Heather I Robertson, PA?

The NPI number of Heather I Robertson, PA is 1467452185. It was assigned on July 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Heather I Robertson, PA?

Heather I Robertson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VA under license number 0110002587.

Where does Heather I Robertson, PA practice?

The practice location is 180 Church Hill RD, Suite 1, Leeds, ME 04263-3418. The office can be reached at 207-524-3501 (phone) or 207-524-2459 (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 1467452185 directly on the NPPES registry website.

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