Active NPIIndividual provider

Eileen L Smith Porter, RD

Dietitian, Registered in Bangor, Maine

NPI Number1477784726
Practice location
489 State St, Cardiac Wellness @ Emmc, 2 Kagan Bldg, Bangor, ME 04401-6616
Fax
—
Last updated
August 5, 2009

Eileen L Smith Porter is a Dietitian, Registered based in Bangor, ME. Eileen L Smith Porter practices in Bangor, ME and has the professional credentials of RD. The NPI Number for Eileen L Smith Porter is 1477784726 and holds a License No. DI260 (ME). The current practice location address for Eileen L Smith Porter is 489 State St, Cardiac Wellness @ Emmc, 2 Kagan Bldg, Bangor, ME 04401-6616 and can be reached out via phone at 207-973-7218.

Provider Profile Details

NPI Number
1477784726
Provider Name
Eileen L Smith Porter
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
489 State St, Cardiac Wellness @ Emmc, 2 Kagan Bldg, Bangor, ME 04401-6616
Phone Number
207-973-7218
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
August 5, 2009
Last Update Date
August 5, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
489 State St
Cardiac Wellness @ Emmc, 2 Kagan Bldg
Bangor, ME 04401-6616
City
Bangor
State
Maine
Zip
04401-6616
Phone Number
207-973-7218
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
43 Whiting Hill RD
Suite 300
Brewer, ME 04412-1005
City
Brewer
State
ME
Zip
04412-1005
Phone Number
207-973-5035

License Information

License Number
DI260
License State
ME
Taxonomy
Dietitian, Registered · 133V00000X · 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 Eileen L Smith Porter, RD?

The NPI number of Eileen L Smith Porter, RD is 1477784726. It was assigned on August 5, 2009 and is currently active in the NPPES registry.

What is the specialty of Eileen L Smith Porter, RD?

Eileen L Smith Porter, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI260.

Where does Eileen L Smith Porter, RD practice?

The practice location is 489 State St, Cardiac Wellness @ Emmc, 2 Kagan Bldg, Bangor, ME 04401-6616. The office can be reached at 207-973-7218 (phone).

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 1477784726 directly on the NPPES registry website.

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