LESLIE S YETTER RNCS PMH NP NPI 1376651141

NPI Information

NPI: 1376651141
Provider Name: LESLIE S YETTER, RNCS PMH NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
123 MEDICAL CENTER DR
MIDCOAST HOSPITAL
BRUNSWICK, ME
ZIP 04011
Phone: (207) 373-6086
Get Directions

Leslie S Yetter, RNCS PMH NP is a psychiatric/mental health nurse practitioner in Brunswick, ME with 37 years of experience. Leslie S Yetter, RNCS PMH NP NPI is 1376651141. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:1987

The provider's business location address is:

123 MEDICAL CENTER DR
MIDCOAST HOSPITAL
BRUNSWICK, ME
ZIP 04011
Phone: (207) 373-6086
Fax: (207) 373-6080

The NPI 1376651141 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/8/2007.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R035730	MAINE	Yes
2	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	R035730	MAINE	X

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	Other Provider Identifier Issuer
1	P43393	MEDICARE UPIN
2	N58057	MEDICARE ID-TYPE UNSPECIFIED	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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