BREANNA LEA LIBBY FNP-BC NPI 1104344134

NPI Information

  • NPI: 1104344134
  • Provider Name: BREANNA LEA LIBBY, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 20D2296107
  • Address: 5 LIBBY LANE
    BEALS, ME
    ZIP 04611
  • Phone: (207) 598-6120

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NPI Details

Breanna Lea Libby, FNP-BC is a family nurse practitioner in Beals, ME with 8 years of experience. Breanna Lea Libby, FNP-BC NPI is 1104344134. 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:

5 LIBBY LANE
BEALS, ME
ZIP 04611
Phone: (207) 598-6120

The NPI 1104344134 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 CLIA number assigned to this NPI record is 20D2296107 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2017 and was last updated on 11/13/2023.

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
1363LF0000XNurse PractitionerFamilyCNP171113MAINEYes

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: 3/30/2025

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