Active NPIIndividual provider

Dr. Stacey Henner Walden, DO

Family Medicine in Blue Hill, Maine

NPI Number1548204183
Practice location
57 Water St, Blue Hill, ME 04614-5231
Fax
207-374-3991
Last updated
January 12, 2021

Stacey Henner Walden is a Family Medicine based in Blue Hill, ME. Stacey Henner Walden practices in Blue Hill, ME and has the professional credentials of DO. The NPI Number for Stacey Henner Walden is 1548204183 and holds a License No. DO1879 (ME). The current practice location address for Stacey Henner Walden is 57 Water St, Blue Hill, ME 04614-5231 and can be reached out via phone at 207-374-2311 and via fax at 207-374-3991.

Provider Profile Details

NPI Number
1548204183
Provider Name
Stacey Henner Walden
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
57 Water St, Blue Hill, ME 04614-5231
Phone Number
207-374-2311
Fax Number
207-374-3991
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
-- Stacey Lynn Henner (Former Name)
Provider Enumeration Date
June 15, 2006
Last Update Date
January 12, 2021
Certification Date
January 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Water St
Blue Hill, ME 04614-5231
State
Maine
Zip
04614-5231
Phone Number
207-374-2311
Fax Number
207-374-3991
Blue Hill, ME 04614Get directions →

Provider Business Mailing Address Details

Address
57 Water St
Blue Hill, ME 04614-5231
City
Blue Hill
State
ME
Zip
04614-5231
Phone Number
207-374-2311
Fax Number
207-374-3991

License Information

License Number
DO1879
License State
ME
Taxonomy
Family Medicine · 207Q00000X · 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 Dr. Stacey Henner Walden, DO?

The NPI number of Dr. Stacey Henner Walden, DO is 1548204183. It was assigned on June 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Stacey Henner Walden, DO?

Dr. Stacey Henner Walden, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number DO1879.

Where does Dr. Stacey Henner Walden, DO practice?

The practice location is 57 Water St, Blue Hill, ME 04614-5231. The office can be reached at 207-374-2311 (phone) or 207-374-3991 (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 1548204183 directly on the NPPES registry website.

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