Active NPIIndividual provider

Miss Erin L Bacon, AGACNP

Nurse Practitioner, Acute Care in Portland, Maine

NPI Number1760729057
Practice location
22 Bramhall St, Portland, ME 04102-3134
Fax
—
Last updated
April 21, 2017

Erin L Bacon is a Nurse Practitioner, Acute Care based in Portland, ME. Erin L Bacon practices in Portland, ME and has the professional credentials of AGACNP. The NPI Number for Erin L Bacon is 1760729057 and holds a License No. CNP151103 (ME). The current practice location address for Erin L Bacon is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-662-2179.

Provider Profile Details

NPI Number
1760729057
Provider Name
Erin L Bacon
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
22 Bramhall St, Portland, ME 04102-3134
Phone Number
207-662-2179
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Other Names
Miss N/A Na N/A, AGACNP (Professional Name)
Provider Enumeration Date
January 7, 2013
Last Update Date
April 21, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
State
Maine
Zip
04102-3134
Phone Number
207-662-2179
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
190 Riverside St
Suite 6B
Portland, ME 04103-1073
City
Portland
State
ME
Zip
04103-1073
Phone Number
207-661-2000

License Information

License Number
CNP151103
License State
ME
Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X · 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 Miss Erin L Bacon, AGACNP?

The NPI number of Miss Erin L Bacon, AGACNP is 1760729057. It was assigned on January 7, 2013 and is currently active in the NPPES registry.

What is the specialty of Miss Erin L Bacon, AGACNP?

Miss Erin L Bacon, AGACNP is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in ME under license number CNP151103.

Where does Miss Erin L Bacon, AGACNP practice?

The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-662-2179 (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 1760729057 directly on the NPPES registry website.

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