JUDITH A METCALF ANP NPI 1215913421

NPI Information

NPI: 1215913421
Provider Name: JUDITH A METCALF, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
655 MAIN ST
SACO, ME
ZIP 04072
Phone: (207) 602-3571
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Judith A Metcalf, ANP is an adult health nurse practitioner in Saco, ME. Judith A Metcalf, ANP NPI is 1215913421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

655 MAIN ST
SACO, ME
ZIP 04072-543
Phone: (207) 602-3571
Fax: (207) 602-3573

The enumeration date for this NPI number is 12/20/2005 and was last updated on 2/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R030254	MAINE	No
2	363LA2200X	Nurse Practitioner	Adult Health	CNP81095	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P60265	MEDICARE UPIN
2	30344301	MEDICAID	NEW HAMPSHIRE
3	NP3800	MEDICARE PIN
4	30344301	MEDICAID	MAINE
5	278920099	MEDICAID	MAINE
6	P60265	MEDICARE UPIN	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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