AUDREY PATIN PMHNP NPI 1063296416

NPI Information

  • NPI: 1063296416
  • Provider Name: AUDREY PATIN, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 180 PARK AVE STE 1
    PORTLAND, ME
    ZIP 04102
  • Phone: (207) 874-2141

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NPI Details

Audrey Patin, PMHNP is a psychiatric/mental health nurse practitioner in Portland, ME with 3 years of experience. Audrey Patin, PMHNP NPI is 1063296416. 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:

180 PARK AVE STE 1
PORTLAND, ME
ZIP 04102-927
Phone: (207) 874-2141
Fax: (207) 874-2164

The NPI 1063296416 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 8/24/2023 and was last updated on 8/24/2023.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthCNP231288MAINEYes

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: 11/21/2025

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