Active NPIIndividual provider

Breanna M Glynn, DO

Family Medicine in Waterville, Maine

NPI Number1871152330
Practice location
149 North St, Waterville, ME 04901-4974
Fax
207-872-4341
Last updated
October 24, 2025

Breanna M Glynn is a Family Medicine based in Waterville, ME. Breanna M Glynn practices in Waterville, ME and has the professional credentials of DO. The NPI Number for Breanna M Glynn is 1871152330 and holds a License No. DO3354 (ME). The current practice location address for Breanna M Glynn is 149 North St, Waterville, ME 04901-4974 and can be reached out via phone at 207-861-5101 and via fax at 207-872-4341.

Provider Profile Details

NPI Number
1871152330
Provider Name
Breanna M Glynn
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
149 North St, Waterville, ME 04901-4974
Phone Number
207-861-5101
Fax Number
207-872-4341
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2019
Last Update Date
October 24, 2025
Certification Date
October 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
149 North St
Waterville, ME 04901-4974
State
Maine
Zip
04901-4974
Phone Number
207-861-5101
Fax Number
207-872-4341
Waterville, ME 04901Get directions →

Provider Business Mailing Address Details

Address
149 North St
Waterville, ME 04901-4974
City
Waterville
State
ME
Zip
04901-4974
Phone Number
207-861-5101
Fax Number
207-872-4341

License Information

License Number (1)
DO3354
License State (1)
ME
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
DO3354
License State (2)
ME
Taxonomy (2)
Neuromusculoskeletal Medicine & OMM · 204D00000X
License Number (3)
DO3354
License State (3)
ME
Taxonomy (3)
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 Breanna M Glynn, DO?

The NPI number of Breanna M Glynn, DO is 1871152330. It was assigned on June 10, 2019 and is currently active in the NPPES registry.

What is the specialty of Breanna M Glynn, DO?

Breanna M Glynn, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in ME under license number DO3354.

Where does Breanna M Glynn, DO practice?

The practice location is 149 North St, Waterville, ME 04901-4974. The office can be reached at 207-861-5101 (phone) or 207-872-4341 (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 1871152330 directly on the NPPES registry website.

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